LA RESPONSABILIDAD PROFESIONAL EN LA PRCTICA … · 2018. 10. 16. · 9.- El panorama actual de la...

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1.- Introducciónd!

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2.- Antecedentes históricos de la responsabilidad profesional en

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3.- La responsabilidad profesional médicad!

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4.- Situación actual de la responsabilidad médica en España:

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_2[!'DEVE<A>J<!CE!?B:!CEOB<CB:!N9D!OB?BNDBb>:2!

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5.- La historia clínica en oftalmología.

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[2_!!"B!i>:=9D>B!6?@<>AB!(T=B?O9?JG>AB2!

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6.- La información al paciente y el documento de consentimiento

informado en oftalmología.

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j2Z!!%?!A9<:E<=>O>E<=9!><T9DOBC9!E<!(T=B?O9?9G@B2!

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7.- Principales actuaciones oftalmológicas de las que pueden

derivarse denuncias.

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8.- Análisis de la jurisprudencia reciente en relación a las

reclamaciones en oftalmología.

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9.- El panorama actual de la responsabilidad penal en oftalmología.

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n2[!$E:H?=BC9:2!

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n2k!69<A?H:>9<E:2!

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10.- El informe pericial oftalmológico en las reclamaciones por

malapraxis.

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Y^2]!KB?9DBA>J<!CE!?B!BA=HBA>J<!ND9TE:>9<B?!R!CE!?B!DE?BA>J<!CE!ABH:B?>CBC!

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Y^2[!#:NEA=9!T9DOB?!CE?!><T9DOE!NED>A>B?!9T=B?O9?JG>A92!

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11.- Problemas médico-legales con los tratamientos actuales de la

DMAE:

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E?!=DB=BO>E<=9!CE!?B!,/#%d!!

12.- BIBLIOGRAFÍA

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9T=B?O9?JG>AB:!OU:!SBQ>=HB?E:2

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1.- INTRODUCCIÓN

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2.- ANTECEDENTES HISTÓRICOS DE

LA RESPONSABILIDAD PROFESIONAL

EN OFTALMOLOGÍA:

de la amputación de las manos del

cirujano a su inhabilitación

profesional.


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1. Inobservancia del deber objetivo de cuidado:

&>!<9!:E!9Q:EDVB!E?!deber de cuidado!:E!E:=U!DEB?>pB<C9!H<B!BA=HBA>J<!

ND9TE:>9<B?! ><A9DDEA=B2!%<!,EDEAS9!:E! ??BOB!LCEQED!CE!AH>CBC9W!B!BA9O9CBD!H<B!

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PHE!DEPH>EDE<!?B!><=EDVE<A>J<!CE!T9DE<:E:!E:NEA>B?>:=B:2!XY]`!

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H<9! CE! ?9:! ND9TE:>9<B?E:! PHE! BA=HBD9<! E<! ?B! ><=EDVE<A>J<! R! PHE! ?JG>ABOE<=E!

E:=BDU<! E<! TH<A>J<! CE! :H:! A9ONE=E<A>B:2! )9! CEQEO9:! 9?V>CBD! PHE! ?B!

DE:N9<:BQ>?>CBC! ! NE<B?! =>E<E! H<! ABDUA=ED! EO><E<=EOE<=E! NED:9<B?7! PH>EDE! E:=9!

CEA>D! PHE! ?B! Eb>GE<A>B! CE! DE:N9<:BQ>?>CBC! :E! SBAE! :>EONDE! N9D! H<B! BA=HBA>J<!

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PHE! E?! NBA>E<=E! CE:A9<9pAB! E?! <9OQDE! CE! ?9:! TBAH?=B=>V9:! PHE! ?E! B=E<C>ED9<7! E?!

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S9:N>=B?!NBDB!A9<ADE=BD!E:=E!B:NEA=92!

!

2. Que se produzca un resultado lesivo para el paciente:

,EQE<! ND9CHA>D:E! ?E:>9<E:! 9! ?B! OHED=E! CE?! NBA>E<=E7! NBDB! PHE! NHECB!

Eb>G>D:E! DE:N9<:BQ>?>CBC! N9D! A9<CHA=B! AH?N9:B2! 5<B! A9<CHA=B! ND9TE:>9<B?!

>ONDHCE<=E! NHECE! <9! SBQED! =E<>C9! A9<:EAHE<A>B:! ?E:>VB:7! E<! AHR9! AB:9! <9! :E!

N9CDU!A9<ADE=BD!DE:N9<:BQ>?>CBC!NE<B?!B?GH<B2!&HN9<GBO9:!H<!A>DHeB<9!DETDBA=>V9!

PHE!><=EDV>E<E!B!H<!NBA>E<=E!AHRB!BOE=D9N@B!E:=U!THEDB!CE?!DB<G9!CE!C>9N=D@B:!PHE!

:E!A9<:>CEDB!PHE!NHECE!A9DDEG>D! ?B! =;A<>AB!PH>DaDG>AB!EON?EBCB7!N9D!EeEON?9!H<!

"#&+y2! "B! ><=EDVE<A>J<! <9! E:=BD@B! ><C>ABCB! E<! E:E! AB:9! A9<ADE=97! N9D! ?9! PHE! ?B!

BA=HBA>J<! VH?<EDBD@B! E?! CEQED! 9QeE=>V9! CE! AH>CBC9! PHE! CEQED@B! =E<ED! E?! A>DHeB<9!

A9<! :H! NBA>E<=E2! 'ED9! :>! E?! DE:H?=BC9! TH<A>9<B?! CE! ?B! ><=EDVE<A>J<! E:! A9DDEA=97!

A9<:EDVB<C9!E?!NBA>E<=E!H<B!QHE<B!BGHCEpB!:><!A9DDEAA>J<!R!H<B!QHE<B!AB?>CBC!

V>:HB?7! BH<PHE! ?B! BA=HBA>J<! SBRB! :>C9! A9<=DBD>B! B! ?B! L"Eb! #D=>:W! <9! N9CDU!

A9<ADE=BD:E!DE:N9<:BQ>?>CBC!NE<B?!N9D!CE?>=9!C9?9:92!!

!

[_!


3. Que exista relación de causalidad:

,EQE!Eb>:=>D! DE?BA>J<!CE! ABH:B\ETEA=9!E<=DE! ?B!BA=HBA>J<!CE?!O;C>A9!R! ?B!

?E:>J<! ND9CHA>CB2! )9! :J?9! CEQE! Eb>:=>D! E:=B! DE?BA>J<7! SBR! PHE! CEO9:=DBD?B2! %:!

N9:>Q?E!PHE!:E!ND9CHpAB!H<B! ?E:>J<!A9><A>C>E<C9!A9<!H<B!BA=HBA>J<!O;C>AB!NED9!

PHE! <9! GHBDCE! DE?BA>J<! ABH:B?! A9<! C>ASB! ><=EDVE<A>J<2! '9<GBO9:! B! O9C9! CE!

EeEON?9!H<!NBA>E<=E!O>9NE!PHE!:HTDE!H<!CE:NDE<C>O>E<=9!CE!DE=><B7!E<!E?!O>:O9!

9e9! R! E?! O>:O9! C@B! PHE! E:! ><=EDVE<>C9! CE! H<! 9DpHE?92! '9CDU! Eb>:=>D! H<B!

A9><A>CE<A>B! =9N9GDUT>AB! R! AD9<9?JG>AB! E<=DE! E?! CE:NDE<C>O>E<=9! R! ?B! Eb=>DNBA>J<!

CE?!9DpHE?97!NED9!<9!SBR!EV>CE<A>B!A>E<=@T>AB!B?GH<B!PHE!NEDO>=B!B:EGHDBD!PHE!E?!

CE:NDE<C>O>E<=9!CE!DE=><B!E:!A9<:EAHE<A>B!C>DEA=B!CE!?B!><=EDVE<A>J<!CE?!NUDNBC92!

!

4. Que exista imputación objetiva del resultadod!

%:=U!OHR! DE?BA>9<BC9! E:=E! DEPH>:>=9! A9<! E?! B<=ED>9D2! 69<:>:=E! E<! PHE! ?B!

?E:>J<! <9! :E! SB! ND9CHA>C9! N9D! AB:HB?>CBC7! :><9! N9D! <9! :EGH>D! H<B! CE=EDO><BCB!

<9DOB! CE?! CEQED! CE! AH>CBC92! %:=B! <9DOB7! NDEA>:BOE<=E7! =>E<E! A9O9! T><B?>CBC!

EV>=BD!PHE!:E!ND9CHpAB!H<!DE:H?=BC9!A9O9!E?!9AHDD>C92!'HECE!VED:E!9QeE=>VBOE<=E!

PHE!:>!?B!BA=HBA>J<!CE?!O;C>A9!:E!SHQ>EDB!BeH:=BC9!B?!CEQED!CE!AH>CBC9!CEQ>C9!B!

:H!NBA>E<=E!<9!:E!SBQD@B!ND9CHA>C9!?B!?E:>J<!PHE!BS9DB!:HTDE!E?!NBA>E<=E2!

!

%<!?B!NDUA=>AB!E:!OHR!C>T@A>?!PHE!:E!NHECB<!CEO9:=DBD!=9CB:!R!ABCB!H<B!CE!

E:=B:!A>DAH<:=B<A>B:!DEPHED>CB:!NBDB!N9CED!A9<CE<BD!B?!O;C>A9!N9D!CE?>=9!AH?N9:92!

'D9QBQ?EOE<=E!E:=B!:EB!?B!ABH:B!CE!PHE!BH<PHE!?B:!CE<H<A>B:!A9<=DB!?9:!O;C>A9:!

:EB<!DE?B=>VBOE<=E!TDEAHE<=E:7!?B:!A9<CE<B:!A9<=DB!;:=9:!:EB<!EbAENA>9<B?E:2!%:!

OHR!SBQ>=HB?!PHE!E?!NBA>E<=E!CE<H<A>E!N9DPHE!SB!:HTD>C9!H<B!A9ON?>ABA>J<!PHE!;?!

B=D>QHRE!B!H<B!BA=HBA>J<!><A9DDEA=B!CE?!A>DHeB<97!NED9!B?!B<B?>pBD!E?!B:H<=9!VEO9:!

PHE!<9!Eb>:=E!9!<9!NHECE!CEO9:=DBD:E!H<B!BA=HBA>J<!><A9DDEA=B!CE?!O;C>A97!9!PHE!

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3º)- ¿Hay relación de causalidad?

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6.- LA INFORMACIÓN AL PACIENTE

Y EL DOCUMENTO DE

CONSENTIMIENTO

INFORMADO

EN OFTALMOLOGÍA.

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7.- PRINCIPALES ACTUACIONES

OFTALMOLÓGICAS

DE LAS QUE PUEDEN

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I. COMPLICACIONES PREOPERATORIAS:

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II. COMPLICACIONES TRANSOPERATORIAS:

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III. TRANSOPERATORIAS ESPECÍFICAS DEL USO DEL LÁSER:

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IV. COMPLICACIONES POSTOPERATORIAS:

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Y_k!


1)- Extracción de cataratas: 154 casos.

69<:=>=HRE<!E?!]]!t!CE?!=9=B?2!q!CE<=D9!CE!E:=E!GDHN9!OBR9D>=BD>97!?9!OU:!

TDEAHE<=E! E:! PHE! ?B:! DEA?BOBA>9<E:! :EB<! N9D! >ON?B<=E! CE! "+(&! X_n! CE! ?B:! Y[_!

DEA?BOBA>9<E:`2! #?! ND><A>N>9! Eb>:=@B<! ND9Q?EOB:! A9<! ?B! TBQD>ABA>J<! CE! ?B:! ?E<=E:7!

NED9!:HNEDBC9:!;:=9:7! ?B:! DEA?BOBA>9<E:!NB:BD9<!B!SBAED:E!B!BPHE??9:!A>DHeB<9:!

OU:! ><=D;N>C9:! PHE! N9<@B<! >ON?B<=E:! E<! AB:9:7! PHE! SBAE! Bh9:! EDB<! CE! CHC9:B!

><C>ABA>J<!XC>BQ;=>A9:7!G?BHA9OB7!<>h9:7!E=AM`2!(=D9!CE!?9:!TBA=9DE:!CE!D>E:G9!EDB!

=E<ED!H<B!QHE<B!BGHCEpB!V>:HB?!NDEV>B!B!?B!A>DHG@B2!

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Eb>G>J! DEEON?BpBD?B! A9<! ?B:! A9<:>GH>E<=E:! A9ON?>ABA>9<E:! XN;DC>CB:! CE! V@=DE97!

CE:A9ONE<:BA>J<!E<C9=E?>B?7!CE:NDE<C>O>E<=9:!CE!DE=><B7!>D>C9A>A?>=>:7M`!<9!THED9<!

GB<BCB:!N9D!E?!CEOB<CB<=E2!

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N>EpB:! CE?! ><:=DHOE<=B?! CETEA=H9:B:7! E=AM`! NBDB! B<U?>:>:! N9:=ED>9DE:2! %<! E:=9:!

AB:9:!?B!DE:N9<:BQ>?>CBC!<9!:EDU!CE?!9T=B?OJ?9G97!:><9!CE?!TBQD>AB<=E2!

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Y_l!


2)- Desprendimientos de retina: 77 casos.!

&ED@B<!E?!YY!t!CE?!=9=B?2!)9!><A?HRE!E?!,$!:EAH<CBD>9!B!9=DB:!NB=9?9G@B:2!

"B:!ABH:B:!CE!DEA?BOBA>J<!OU:!TDEAHE<=E:!THED9<d!

Y2 %DD9D! C>BG<J:=>A9! X<9! C>?B=BD! ?B! NHN>?B7! <9! H:BD! Q><9AH?BD7! <9!

EbN?9DBD! E?! 9e9! A9<=DB! ?B=EDB?`2! )9! :E! A9<:>CEDB! OB?B! NDBb>:! <9!

CE=EA=BD! NEPHEh9:! CE:GBDD9:! =DB:! H<! AH>CBC9:9! EbBOE<! QBe9!

O>CD>B:>:2!

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E:=BD! ><:=DH>CB! CE! ?9:! :@<=9OB:! CE! ,$7! B<=E! ?B! CHCB! A9<:H?=BD! B?!

9T=B?OJ?9G97!:>!<9!SBR!A>=B!DEA9OE<CBD!PHE!VBRB!B!HDGE<A>B:`2!

Z2 ,$!:EAH<CBD>9!B!H:9!CE!O>CD>U=>A9:!Xj!AB:9:`2!

#?GH<9:! NBA>E<=E:! DEA?BOBD9<! CE:NH;:! CE! PHE! E?! ,$! THE! AHDBC97! N9D!

C>N?9N>B! :EAH<CBD>B! B! B?=EDBA>9<E:! E<! E?! QB?B<AE! OH:AH?BD7! TB=>GB! V>:HB?! 9!

B?=EDBA>9<E:!E<!?B!V>:>J<!E:=EDE9:AJN>AB2!!

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3)- Efectos secundarios de los medicamentos: 71 casos.

&9<!E?!Y^!t!CE?!=9=B?2!"B!OBR9D@B!!E<!DE?BA>J<!A9<!E?!H:9!CE!A9D=>A9>CE:7!

ND><A>NB?OE<=E!=JN>A9:!XZ_!AB:9:`2!!

.BON9A9!CEQE<!H:BD:E!><S>Q>C9DE:!!CE!?B!B<S>CDB:B!ABDQJ<>AB!E<!AB:9:!CE!

G?BHA9OB!PHE!NHECE<! :ED! A9<=D9?BC9:! A9<! =DB=BO>E<=9! =JN>A92! "B! B:9A>BA>J<! CE!

B<EO>B!BN?U:>AB!A9<!E?!H:9!CE!><S>Q>C9DE:!CE!?B!B<S>CDB:B!ABDQJ<>AB!DENDE:E<=B!H<!

C>?EOB!NBDB!?9:!9T=B?OJ?9G9:2!!

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Y_n!


4)- Glaucoma: 55 casos.

69<:=>=HRE<!E?!k2l!t!CE?!=9=B?2!"B!OBR9D@B!N9D!DE=DB:9!E<!E?!C>BG<J:=>A97!

SB:=B!PHE!9AHDDE!>ON9D=B<=E!CBh9!E<!E?!<EDV>9!JN=>A92!#PHE??9:!AB:9:!E<!?9:!PHE!

:E!SB<!SEAS9!=9<9OE=D@B:!C>G>=B?E:7!NED9!<9!:E!SB!EbBO><BC9!AH>CBC9:BOE<=E!E?!

<EDV>9!JN=>A97!<>!:E!SB<!SEAS9!ABON9:!V>:HB?E:7!:9<!OHR!C>T@A>?E:!CE!CETE<CED2!

.DE:!CE!?B:!DEA?BOBA>9<E:!THED9<!N9D!><TEAA>9<E:!=DB:!A>DHG@B!T>?=DB<=E2!

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5)- Traumatismos incluyendo cuerpos extraños: 48 casos.

j7l!CE?!=9=B?2!%<!?B!OBR9D@B7!]k!AB:9:7!?B!DEA?BOBA>J<!:E!N9<E!N9D!TB??9:!CE!

C>BG<J:=>A9! CE! AHEDN9:! Eb=DBh9:! ><=DB9AH?BDE:2! %<! OHAS9:! AB:9:! E?! AHEDN9!

Eb=DBh9! <9! :E! C>BG<9:=>AB! N9D! C>:N9<ED! E?! A>DHeB<9! CE! H<B! a<>AB!O9CB?>CBC! CE!

C>BG<J:=>A92!5?=DB:9<>C9:7!=9O9GDBT@B!A9ONH=BD>pBCB!R!E:NEA>B?OE<=E!?9:!DBR9:!g7!!

NHECE<!9AB:>9<BD!TB??9:!C>BG<J:=>A9:!R!CE!?9AB?>pBA>J<!CE!AHEDN9:!Eb=DBh9:!AHB<C9!

:E!H=>?>pB<!A9O9!O;=9C9!a<>A92!&>EONDE!BCVED=>D!CE?!ND9<J:=>A9!><A>ED=92!

%?! DE:H?=BC9!CE!E:=9:!AB:9:!:HE?E!:ED! ?B!N;DC>CB!V>:HB?2!q! ?B! DEA?BOBA>J<!

:HE?E!QB:BD:E!E<!E?!DE=DB:9!E<!?B!><:=BHDBA>J<!CE?!=DB=BO>E<=92!,EQE!SBAED:E!H<B!

DBC>9GDBT@B! CE! JDQ>=B! AHB<C9! E?! NBA>E<=E! DET>EDB! BA=>V>CBC! CE! D>E:G9! CE! AHEDN9!

Eb=DBh9! ><=DB9AH?BD! CE! <B=HDB?EpB! OE=U?>AB2! &>! SBR! 9NBA>CBC! CE! OEC>9:!

XSEO9DDBG>B! V@=DEB`! SBR! PHE! SBAED! H<B! EA9GDBT@B! NBDB! CE:ABD=BD! H<!

CE:NDE<C>O>E<=9!CE!DE=><B2!

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6)- Miscelánea: 46 casos.

&HN9<E!E:=E!GDHN9!E?!j2j!t!CE?!=9=B?!CE!?B:!DEA?BOBA>9<E:2!

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7)- Retinopatías médicas: 43 casos.

$ENDE:E<=B<!E?!j!t!CE! ?B:! DEA?BOBA>9<E:2!"B!O>=BC!CE!E??B:!9AHDDE<!E<!

NBA>E<=E:! A9<! DE=><9NB=@B! C>BQ;=>AB2! "B! ABH:B! CE! E:=B:! DEA?BOBA>9<E:! :HE?E! :EDd!

OB?B! V>:>J<! CE:NH;:! CE! ?B! T9=9A9BGH?BA>J<7! EDD9DE:! E<! ?B! NB<T9=9A9BGH?BA>J<7!

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NBA>E<=E:7! E?! DE:H?=BC9! V>:HB?! N9QDE! EDB! A9<:EAH=>V9! B! ?B!OB?B! EV9?HA>J<! CE! :H!

E<TEDOECBC7!B!NE:BD!CE!SBQED!BN?>ABC9!E?!=DB=BO>E<=9!BCEAHBC92!

5<B!:>=HBA>J<!CE!D>E:G9!NBDB!CEOB<CB:!E:!?B!T9=9A9BGH?BA>J<!!CE!?E:>9<E:!

AEDAB<B:!B! ?B! TJVEB7!E:NEA>B?OE<=E!:>!E?!NBA>E<=E! =>E<E!H<B!QHE<B!V>:>J<!NDEV>B2!

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8)- Retinopatía de los prematuros: 35 casos.

69<:=>=HRE<! E?! [2[!t! CE?! =9=B?2! %:=9:! AB:9:! :9?BOE<=E! A9OND9OE=E<! B?!

9T=B?OJ?9G9!A9O9!=E:=>G92!.B<!:9?9!E<!H<!AB:9!E?!9T=B?OJ?9G9!THE!E?!Q?B<A9!CE!?B!

CEOB<CB2!

5<! >ON9D=B<=E! TBA=9D! CE! D>E:G9! NBDB! E:=B:! DEA?BOBA>9<E:! E:! ?B! OB?B!

A9OH<>ABA>J<!A9<!?9:!NBCDE:2!"B!E:AE<B!=@N>AB!E<!E:=9:!AB:9:!E:!?B!:>GH>E<=Ed!5<!

<E9<B=9! OHR! E<TEDO>p9! :9QDEV>VE! =DB:! :EOB<B:! CE! B<:>9:B! BG9<@B7! ?9:! NBCDE:!

:HeE=B<! E<! QDBp9:! B! H<!<>h9! BNBDE<=EOE<=E! :B<9! B?! PHE! ?E! PHECB! A9O9!a?=>O9!

ND9Q?EOB!H<B!OB?B!V>:>J<!9! ><A?H:9!H<B!AEGHEDB2!&>!:E! ?E:!SHQ>EDB!BCVED=>C9!CE!

E:=B!N9:>Q>?>CBC!=EONDB<BOE<=E!XB!?B:!C9:!:EOB<B:!CE?!<BA>O>E<=9`!:E!?E:!SBQD@B!

EV>=BC9! H<B! CE:BGDBCBQ?E! :9DNDE:B7! PHE! N9:>Q?EOE<=E! SB! ND9V9ABC9! ?B!

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9)- Infecciones postoperatorias: 33 casos.

%?! _2k! t! CE?! =9=B?2! "B! OBR9D@B! :9<! N9D! DE=DB:9! E<! ?B! ><:=BHDBA>J<! CE?!

=DB=BO>E<=92!"B!DEA?BOBA>J<!:>EONDE!THE!CETE<C>Q?E7!B!NE:BD!CE?!OB?!DE:H?=BC97!:>!

E?!B<=>Q>J=>A9!:E!NH:9!NDEA9pOE<=E!R!N9D!?B!V@B!BCEAHBCB2!

10)- Problemas con la anestesia: 32 casos.

&HN9<E<!E?!_2[!t!CE?!=9=B?2!+<A?HRE!E<!E:=E!GDHN9!B<E:=E:>B:!GE<EDB?E:7!

DEG>9<B?E:!R!?9AB?E:2!(AHDD>J!NBDBCB!ABDC>BAB!E<!:>E=E!NBA>E<=E:7!TB??EA>E<C9!AHB=D9!

CE!E??9:! XH<9! =E<@B! AHB=D9!Bh9:`2!%<!Y]!AB:9:! :E!ND9CHAE!NEDT9DBA>J<!CE?!G?9Q9!

9AH?BD7! AHB=D9! CE! E??9:! EDB<! ><REAA>9<E:! DE=D9QH?QBDE:7! ?9:! CEOU:d! ><REAA>9<E:!

:HQA9<eH<=>VB?E:7! :HQ=E<9<><B:7! :H=HDB! CE?! DEA=9! :HNED>9D! 9! ><REAA>9<E:! CE!

B<E:=E:>B! NBDB! ASB?BA>J<2! "B:! DEA?BOBA>9<E:! N9D! A9ON?>ABA>9<E:! =DB:! ><REAA>J<!

DE=D9QH?QBD! XNEDT9DBA>J<7! SEO9DDBG>B! 9! B=D9T>B! JN=>AB`! :HE?E<! :ED! TUA>?OE<=E!

CETE<C>Q?E:! B?! :ED! H<B! =;A<>AB! CE! NH<A>J<! B! A>EGB:! 9! N9DPHE! ?B:! E:A?EDB:! T><B:!

NHECE<!NEDT9DBD:E!><BCVED=>CBOE<=E2!

11)- Problemas no oftalmológicos: 27 casos.

Z7_!t!CE?!=9=B?2!&E!>ON?>AB!B?!(T=B?OJ?9G9!E<!?B!DEA?BOBA>J<!B?!ND><A>N>97!

NED9!?HEG9!:E!CE:>:=E!B?!VED!PHE!<9!=>E<E!PHE!VED!A9<!E?!B:H<=92!

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12)- Cirugía Oculopástica: 17 casos.

&HN9<E<!H<!]7[!t!CE?!=9=B?2!"B:!ABH:B:!E<!E:=E!GDHN9!:9<!OHR!VBD>BCB:d!

Eb=DH:>9<E:! CE! NDJ=E:>:7! S>NEDA9DDEAA>9<E:! CE! N=9:>:7! Eb;DE:>:! =HO9DB?E:! PHE!

BTEA=B<!B!?B!V@B!?BGD>OB?!R!CEeB<!A9O9!:EAHE?B!H<!9e9!:EA97M!%:!OHR!>ON9D=B<=E!

E<!E:=E!GDHN9!><T9DOBD!AH>CBC9:BOE<=E!B?!NBA>E<=E!R!H<!QHE<!6+2!

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13)- Problemas con lentes de contacto: 17 casos.

&HN9<E<!H<!]7_!t!CE!=9CB:!?B:!DEA?BOBA>9<E:2!iBR!:>E=E!AB:9:!CE!a?AEDB!

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9=D9:! =DE:! <9! :E! NHC9! >CE<=>T>ABD! E?! GEDOE<! DE:N9<:BQ?E2! %<! C9:! AB:9:!

:>ON?EOE<=E! :E! ND9CHe9! H<B! BQDB:>J<! A9D<EB?2! -DEAHE<=EOE<=E! :E! ND9CHAE<!

DEA?BOBA>9<E:!N9D!ND9Q?EOB:!DE?BA>9<BC9:!A9<! ?9:!AH>CBC9:!CE!OB<=E<>O>E<=9!R!

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TH<A>J<! CE?! NED>9C9! CE! =>EON9! PHE! E:=HC>EO9:7! ABCB! ;N9AB! =>E<E! H<! =>N9! CE!

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CE<H<A>B:! ?B! TB?=B! CE! BDO9<@B! E<! ?B! DE?BA>J<! O;C>A9! NBA>E<=E! R! ND9Q?EOB:!

DE?BA>9<BC9:!A9<!E?!A9<:E<=>O>E<=9!><T9DOBC92!

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Bh9:!Y2nlj!R!Y2nn]!E<!E?!69?EG>9!(T>A>B?!CE!/;C>A9:!CE!*BDAE?9<B!X]Y`2!"9:!C>V>CE!

E<!A><A9!GDHN9:!E<!TH<A>J<!CE!?B!NB=9?9G@B!9AH?BD!PHE!9AB:>9<B!?B!DEA?BOBA>J<2!

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%<=DE! ?B:!A9<A?H:>9<E:!CE!E:=E! ><=EDE:B<=E! =DBQBe9!SBR!PHE!CE:=BABD!PHE!

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C>BG<J:=>A9! R! E?! =DB=BO>E<=97! :HE?E<! DEB?>pBD:E! A9DDEA=BOE<=E2!iBQ>=HB?OE<=E!<9!

:E! E<AHE<=DB<! ND9Q?EOB:! CE! impericia7! :><9! OU:! Q>E<! CE! TB?=B! CE! B=E<A>J<!

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A9ON?Ee>CBC!CE!?B:!NB=9?9G@B:!B=E<C>CB:!E<!E:=9:!AB:9:2!%<!9AB:>9<E:7!?B!ABH:B!CE!

?B! DEA?BOBA>J<! :E! CEQE! B?! OB?! TH<A>9<BO>E<=9! CE?! :>:=EOB! 9! B!problemas de

tipo administrativo7!PHE!<9!:9<!BASBABQ?E:!B?!TBAH?=B=>V92!

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8.- ANÁLISIS DE LA JURISPRUDENCIA

RECIENTE EN RELACIÓN A

RECLAMACIONES EN OFTALMOLOGÍA.

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Se da prioridad a la información verbal sobre la escrita,

pero debe constar en la historia clínica: 69<T9DOE! B! ?B! "ER!

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La Audiencia Nacional sigue condenando por no aplicar

antibioterapia preventiva en la cirugía de cataratas, si se

produce endoftalmitis: %<!E?!,>BD>9!/;C>A9!CE!^ns^]s^_7!:E!SBAE!

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N9:=9NEDB=9D>BW2!Xll`!

El oftalmólogo no puede presentar al paciente una

complicación de “riesgo medio” como algo excepcional: %<!

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La condena a un año y medio de prisión e inhabilitación,

por no realizar un campo visual B! ?9! ?BDG9!CE! =DE:!Bh9:!B!H<!

NBA>E<=E! A9<! G?BHA9OB7! PHE! RB! SEO9:! A9OE<=BC9! R! PHE! NHQ?>A9!

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NED9! =BOQ>;<! PHEDB=9=9O@B! DBC>B?7! A>DHG@B! CE! AD>:=B?><9! =DB<:NBDE<=E7! >ON?B<=E:!

:EAH<CBD>9:!CE!"+(7!E=AM! ! !

Z2\! Urgencias Oftalmológicas:! +<A?HRE! AHB?PH>ED! CE<H<A>B! PHE!

BNBDEpAB!E<!E?!UOQ>=9!CE! ?B!5DGE<A>B7!A9O9!?E:>9<E:!N9D!=DBHOB=>:O9:7!AHEDN9:!

Eb=DBh9:! ><=DB9AH?BDE:! <9! C>BG<9:=>ABC9:7! ,$! <9! C>BG<9:=>ABC9:! E<! HDGE<A>B:7!

E=AM!

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PH>DaDG>A9!CE! E:=B! NB=9?9G@B7! ><A?HRE<C9!E?! G?BHA9OB! A9<G;<>=97! E?! ><CHA>C9!N9D!

A9D=>A9>CE:7!E=AM!

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RB!PHE!:E!><A?H>D@B!E<!E?!GDHN9!Z2!

j2\!Órbita y anejos oculares: &E! ><A?HRE<! E<! E:=E! GDHN9! ND9Q?EOB:!

DE?BA>9<BC9:! A9<! ?B! A>DHG@B! CE! NUDNBC9:! XQ?ETBD9N?B:=>B:7! ?BG9T=B?O9:7! N=9:>:7M`7!

B:@!A9O9!N=ED>G>J<!R!A>DHG@B!CE!?B!JDQ>=B2!

k2\!Miscelánea:! &E! ><A?HRE<! E<! E:=E! GDHN9! ?B:! DEA?BOBA>9<E:! PHE! :E!

ND9CHAE<!N9D!H<B! ABH:B! !PHE!<9! :E!NHECE!E<AHBCDBD!E<! ?9:!CEOU:!GDHN9:2!&H!

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,%)5)6+#,#!q!%"!+)-($/%d!KBD>BQ?E!AHB<=>=B=>VB!EbNDE:BCB!E<!OE:E:!R!PHE!:E!

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A9<CHA=B!CE<H<A>BCB2!

Impericia.

Negligencia.

Imprudencia.

YnZ!


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EbN9<E! E<! E?! E:AD>=9! CE! CE<H<A>B! NDE:E<=BC9! E<! E?! eHpGBC92! "B:! ><A?H>O9:! E<!

TH<A>J<! CE?! O9=>V9! TH<CBOE<=B?7! RB! PHE! SBQ>=HB?OE<=E! :HE?E<! ><=EDVE<>D! VBD>9:!

O9=>V9:!:>OH?=U<EBOE<=Ed!

Y2 Resultado de la intervención no deseado o

problemas de información: 1E<EDB?OE<=E! N9DPHE! :HDGE<!

A9ON?>ABA>9<E:2!%<!B?GH<9:!AB:9:!E?!CE<H<A>B<=E7!<9!THE!BCVED=>C9!

9!<9!?B:!E:AHASJ2!%<!B?GH<9:!AB:9:!E?!(T=B?OJ?9G9!SBAE!ND9OE:B:!

CE!DE:H?=BC9:7!9!NDE:E<=B!?B!><=EDVE<A>J<!A9O9!OHAS9!OU:!:>ON?E!

CE! ?9! PHE! DEB?OE<=E! E:2! %<! E:=9:! AB:9:! E:! E:E<A>B?! B<B?>pBD! E?!

C9AHOE<=9!CE!6+2!!

]2 Error diagnóstico! XN9D! EeEON?97! <9! C>BG<9:=>ABD! H<!

G?BHA9OB!N9D!<9!=9OBD!?B!'+(7!9!H<!,$!N9D!<9!EbBO><BD!E?!T9<C9!

CE!9e9`2!

Z2 Error en la ejecución!CE?! =DB=BO>E<=9! XDE=DB:9!E<! ?B!

><=EDVE<A>J<7! T9=9A9BGH?BA>J<! OB?! SEASB7! NEGBOE<=9! =>:H?BD! PHE!

ABE! B! ?B! AJD<EB7! 9AS9! >ONBA=9:! E<! ?B! "+(! B?! SBAED! H<B!

ABN:H?9=9O@B7!NH<A>J<!9AH?BD!B?!>DD>GBD`2!

_2 Error en la indicación! XN9<ED! "+(! E<! H<B! <>hB7!

9NEDBD! CE! AB=BDB=B:! B! H<! NBA>E<=E! B<=>A9BGH?BC9! CE! T9DOB!

BOQH?B=9D>B7!SBAED!H<!"#&+y!E<!H<!9e9!BOQ?@9NE`2!

[2 Interés económico!XTB?:B:!CE<H<A>B:7!NBDB!A9<:EGH>D!

H<B!><CEO<>pBA>J<`2!

j2 Mala relación médico-paciente! X:E<:BA>J<! CE!

BQB<C9<9! CHDB<=E! E?! N9:=9NEDB=9D>97! CE<H<A>B! B! H<B! 9T=B?OJ?9G9!

N9D!<9!PHEDED!PH>=BD?E!H<!NH<=9!PHE!?E!D9pB`2!

Yn_!


k2 ,E<H<A>B! N9D! actuación dolosa del oftalmólogo!

XE:=BTB!N9D!A9QDBD!H<B!"+(!PHE!<9!:E!SB!NHE:=9`2!

Y^Ä`\! +)-($/#6+0)! #"! '#6+%).%d! "B! A?B:>T>ABO9:! QB:U<C9<9:! E<!

E?EOE<=9:! 9QeE=>V9:7! A9O9! E:! E?! B<U?>:>:! CE?! C9AHOE<=9! CE! A9<:E<=>O>E<=9!

><T9DOBC9!Xv6+`2!69<:>CEDBO9:!A9O9!VU?>C9!!H<!C9AHOE<=9!CE!6+!PHE!:E!BeH:=B!B!

?9:!DEPH>:>=9:!T9DOB?E:!R!CE!A9<=E<>C9!Eb>G>Q?E!E<!E:E!O9OE<=97!R!PHE!RB!SEO9:!

B<B?>pBC9!E<!E?!ABN@=H?9!:Eb=9!CE!E:=E!?>QD92!!,>TEDE<A>BO9:!=DE:!AB=EG9D@B:d!

No hay!C9AHOE<=9!CE!6+!X)9!A9<:=B!?B!><T9DOBA>J<!CBCB`2!

iBR!CI no válido2!

iBR!CI correcto2!

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E<! B?GH<B! CE! ?B:! :ED>E:! B<B?>pBCB:! PHE! E:! H<! TBA=9D! CE! D>E:G97! N9D! ?9! PHE!

B<B?>pBO9:!:H!><A>CE<A>B!E<!<HE:=DB:!OHE:=DB:2!69<:>CEDBO9:!=DE:!N9:>Q>?>CBCE:d!

No tenemos constancia!B?GH<B2!

%?!NBA>E<=E!refiere que se produjeron, pero no por escrito2!

%?!NBA>E<=E!aporta escritos!AD>=>AB<C9!?B!BA=HBA>J<!ND9TE:>9<B?2!

!Y]Ä`\! $%"#6+0)! /%,+6(s'#6+%).%d! KB?9DBO9:! ?B! EONB=@B! Eb>:=E<=E!

E<=DE! E?! O;C>A9! R! E?! NBA>E<=E! N9D! ?9:! A9OE<=BD>9:! PHE! <9:! SBAE! CHDB<=E! ?B!

E<=DEV>:=B!R!N9D!E?!O9C9!CE!CE:BDD9??BD:E!?9:!BA9<=EA>O>E<=9:2!,>TEDE<A>BO9:!=DE:!

N9:>Q>?>CBCE:d!

Normal.

Mala.

Abandono.

Yn[!


69<:>CEDBO9:! A9O9! L<9DOB?W! BPHE??9:! AB:9:! E<! ?9:! PHE! <9! =E<EO9:!

A9<:=B<A>B!C9AHOE<=B?!9!OB<>T>E:=B!E<! ?9:! A9OE<=BD>9:!CE?!CE<H<A>B<=E!9!E<! ?B!

CEA?BDBA>J<!CE?!9T=B?OJ?9G97!CE!PHE!:HDG>EDB<!ND9Q?EOB:!CE!DE?BA>J<2!

!6B?>T>ABO9:!CE!LOB?BW!AHB<C9!:HDGE<!ND9Q?EOB:!OHR!>ON9D=B<=E:7!A9O9!

N9D!EeEON?9!E?!NBA>E<=E!BOE<BpB!B?!O;C>A97!9!AHB<C9!;:=9:!THED9<!CE=EDO><B<=E:!

CE!PHE!:E!CE<H<A>BDB2!'9D!EeEON?97!H<!AB:9!E<!E?!PHE!E?!9T=B?OJ?9G9! ?E!C>AE!B?!

NBA>E<=E!PHE! ?E!CE<H<A>E2!,>TEDE<A>BO9:! ?9:!AB:9:!CE!LBQB<C9<9W7!N9DPHE!E<! ?B!

Q>Q?>9GDBT@B!BNBDEAE!A9O9!TBA=9D!CE!D>E:G9!CE!CEOB<CB:2!

!YZÄ`\!.+.5"#6+()!,%"!,%)5)6+#,(d!%<!QB:E!B!?B!=>=H?BA>J<!BABC;O>AB!

PHE!N9:EE!E?!CE<H<A>BC9!E:=BQ?EAEO9:!AHB=D9!AB=EG9D@B:d!

Oftalmólogo.

Especialista <9!9T=B?OJ?9G9 XNEC>B=DB7!A>DHeB<9!E:=;=>A97M`2

Residente CE!9T=B?O9?9G@B.

Médico general.

Y_Ä`\! 6#'#6+.#6+0)! '$(-%&+()#"! ,%"! ,%)5)6+#,(d! #<B?>pBO9:! :>!

Eb>:=>J!9!<9!>ONED>A>B7!C>TEDE<A>B<C9!B:@!=DE:!GDHN9:d!

Tenía!BADEC>=BCB!T9DOBA>J<!R!EbNED>E<A>B!NBDB!E:B!BA=HBA>J<2!

No la tenía.

No consta.

&9?BOE<=E! ><A?H>O9:! E<! E?! BNBD=BC9! L)9! ?B! =E<@BW! BPHE??9:! AB:9:! E<! ?9:!

PHE!A?BDBOE<=E!B:@!SB!PHECBC9!NB=E<=E!E<!?B!><VE:=>GBA>J<!CE!?9:!SEAS9:2!

Y[Ä`\! 6#"+,#,! ,%"! i+&.($+#"! 6"+)+6(! #'($.#,(d! %:! H<! E?EOE<=9!

A?BVE! NBDB! B<B?>pBD! ?B! BA=HBA>J<! ND9TE:>9<B?2! "9! VB?9DBO9:! E<! DE?BA>J<! B! :H!

BCEAHBA>J<!B!?9!PHE!:E!A9<:>CEDB!H<B!S>:=9D>B!A?@<>AB!A9ON?E=B!R!A9DDEA=B!R!PHE!:E!

SB!!CE:AD>=9!A9<!B<=ED>9D>CBC2!,>TEDE<A>BO9:!A><A9!N9:>Q>?>CBCE:d!

Ynj!


Muy Buenad!E:!A9ON?E=B!R!CE:AD>QE!A9DDEA=BOE<=E!?B!B:>:=E<A>B!NDE:=BCB2!

Aceptabled!CE:AD>QE! DE?B=>VBOE<=E! ?B!B:>:=E<A>B!NDE:=BCB7!BH<PHE! ! TB?=B<!

CB=9:7!C9AHOE<=9:7!9!><T9DOBA>J<!<9!E:E<A>B?2!

Inaceptabled! E:! ><A9ON?E=B7! >?EG>Q?E! 9! <9! DEA9GE! T>E?OE<=E! ?B! B:>:=E<A>B!

NDE:=BCB!B?!NBA>E<=E2!

No se aporta7! SBQ>;<C9:E! :9?>A>=BC92! 1E<EDB?OE<=E! N9DPHE! <9! SBR!

S>:=9D>B2!

No se solicita!E?!S>:=9D>B?7!N9D!NBD=E!CE?!8HpGBC9!+<:=DHA=9D2!

YjÄ`\!,+#1)0&.+6(d!&E!B<B?>pB!:>!Eb>:=>J!EDD9D!C>BG<J:=>A9!R!E<!AB:9!CE!

A9<:=B=BD:E! H<! EDD9D7! :>! THE! CE=EDO><B<=E! CE! ?B! ?E:>J<! ND9CHA>CB2! 69<:>CEDBO9:!

=DE:!N9:>Q>?>CBCE:d!

Correcto2!

iHQ9!error!C>BG<J:=>A97!NED9!no fue determinante!CE!?B!?E:>J<2!

iHQ9!error!C>BG<J:=>A9!R!fue!determinante!CE!?B!?E:>J<2!

YkÄ`\! '$%K+&+*+"+,#,! ,%! "#! 6(/'"+6#6+()d! 69<:>CEDBO9:!

LA9ON?>ABA>9<E:!>ONDEV>:>Q?E:W!BPHE??B:!PHE!NHECE<!:HDG>D!E<!?B!><=EDVE<A>J<7!NED9!

PHE! <9! <9:! ?B:! N9CEO9:! DENDE:E<=BD! OE<=B?OE<=E! A9<! B<=ED>9D>CBC2!

69<:>CEDBO9:!LA9ON?>ABA>J<!NDEV>:>Q?EW!BPHE??B!PHE!E:!E:NEDBQ?E!E<!E:E! =>N9!CE!

><=EDVE<A>J<2!"B:!NDEV>:>Q?E:!NHECE<!:HQC>V>C>D:E!E<!EV>=BQ?E:!XBPHE??B:!E<!?B:!PHE!

NHECE<! =9OBD:E! OEC>CB:! NDEABH=9D>B:`! E! ><EV>=BQ?E:! X<9! Eb>:=E<! OEC>CB:!

NDEABH=9D>B:`2!iBR7!N9D!?9!=B<=9!AHB=D9!N9:>Q>?>CBCE:2!

No existió!A9ON?>ABA>J<2!

69ON?>ABA>J<!imprevisible2!

69ON?>ABA>J<!previsible e inevitable2!

69ON?>ABA>J<!previsible y evitable7!A9<!OEe9D!NDBb>:2!

Ynk!


YlÄ`\!6(/'"+6#6+()%&!&5$1+,#&d!

6HB<C9! :HDGE<! VBD>B:! A9ON?>ABA>9<E:7! ><A?H>O9:! E?! AB:9! E<! ?B! OU:!

>ON9D=B<=E2!%<!E?!GDHN9!LA9ON?>ABA>9<E:!N9A9!SBQ>=HB?E:W!><A?H>O9:!BPHE??B:!PHE!

SB<! BNBDEA>C9! =B<! :9?9! E<! H<! AB:9! E<! ?B! :ED>E! E:=HC>BCB7! A9O9! N9D! EeEON?9d!

B=B?BO>B7! CBh9! E<! "+(7! D9=HDB! CE! ?B! AUN:H?B! N9:=ED>9D7! DEASBp9! CE?! ><eED=9! E<!

PHEDB=9N?B:=>B7!G?BHA9OB!OB?>G<97!N=9:>:7M!

Y2 Endoftalmitis.!

]2 Complicaciones de LASIK.!

Z2 Desprendimiento de retina.!

_2 Descompensación endotelial.!

[2 Neuropatía óptica.!

j2 Lagoftalmos.!

k2 Hemorragia expulsiva.!

l2 Retraso en aplicar el tratamiento.!

n2 Catarata traumática.!

Y^2 Queratitis.!

YY2 Complicaciones poco frecuentes.!

Y]2 No hay complicación.!

!

YnÄ`\! .+'(! ,%! $%&'()&#*+"+,#,! %g+1+,#d! 8HD>:C>AA>J<! E<! ?B! PHE! :E!

DEA?BOB!B?!O;C>A9!DE:N9<:BQ>?>CBC7!A9<:>CEDBO9:!AHB=D9!N9:>Q>?>CBCE:d!

Penal por delito doloso.

Penal por delito culposo.

Ynl!


Civil.

Contencioso-administrativa.

]^Ä`\!"%&+()!'$(,56+,#d!E<=E<CEO9:!N9D!?E:>J<!E?!CBh9!9QeE=>VBQ?E!E<!

?B!:B?HC!N:>A9T@:>AB!CE?!NBA>E<=E2!'HECE!E:=E!CBh9!:ED!DEVED:>Q?E!A9<!E?!=DB=BO>E<=9!

BCEAHBC9!9!CET><>=>V92!&>!E?!CBh9!E:!CET><>=>V97!:E!CE<9O><B!:EAHE?B2!!

No!:E!ND9CHAE!lesión2!

&E!ND9CHAE!H<B!lesión!reversible2!

&E!ND9CHAE!H<B!secuela!Xv!?E:>J<!>DDEVED:>Q?E`2!

]YÄ`\!&%65%"#!'$(,56+,#d!qB!SEO9:!C>AS9!PHE!:ED@B!E?!CBh9!CET><>=>V97!

PHE! NED:>:=E! H<B! VEp! BG9=BCB:! ?B:! N9:>Q>?>CBCE:! =EDBN;H=>AB:! R! DESBQ>?>=BC9=B:2!

69<:>CEDBO9:!<HEVE!N9:>Q>?>CBCE:d!

Y2 iBR!pérdida!anatómica!CE?!9e9!XEV>:AEDBA>J<`2!

]2 iBR!atrofia ocular!XN=>:>:!QH?Q>`2!

Z2 iBR!pérdida funcional!CE?!9e9!XBOBHD9:>:`2!

_2 iBR!disminución de agudeza!V>:HB?2!

[2 iBR!N;DC>CB!CE!calidad visual2!

j2 iBR!BTBPH>B!9!pseudofaquia2!

k2 iBR!C9?9D!9!molestias!9AH?BDE:!ADJ<>AB:2!

l2 Otras!:EAHE?B:2!

n2 No hay!:EAHE?B2!

!

!

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]]Ä`\! %g+&.%)6+#! ,%! /#"#! '$#g+&d! B<B?>pBO9:! :>! ?B! BA=HBA>J<! CE?!

O;C>A9!THE!BA9DCE!B!?B!"Eb!#D=>:7!E<=E<C>E<C9!A9O9!=B?!?B:!<9DOB:!GE<EDB?E:!CE!

BA=HBA>J<!A9<:E<:HBCB:!N9D! ?B!A9OH<>CBC!A>E<=@T>AB7!E<!E:=E!AB:9!9T=B?O9?JG>AB2!

iBR!C9:!N9:>Q>?>CBCE:d!

SI.

NO.

]ZÄ`\!/(.+K(!CE! ?B!/B?B!'DBb>:d!.9C9:! ?9:!AB:9:!E<! ?9:!PHE!:E!BNDEA>J!

OB?B!NDBb>:7!:E!NHC>ED9<!BGDHNBD!E<!=DE:!AB=EG9D@B:d!

Indicación incorrecta.

Impericia manifiesta.

Negligencia.

]_Ä`\! i#q! $%"#6+()! ,%! 6#5&#"+,#,d! &E! B<B?>pB! :>! Eb>:=>J! DE?BA>J<!

ABH:BsETEA=9!E<=DE!?B!BA=HBA>J<!ND9TE:>9<B?!><A9DDEA=B!R!?B!?E:>J<!ND9CHA>CB2!69O9!

SEO9:! V>:=9! NBDB! PHE! :E! A9<ADE=E! ?B! DE:N9<:BQ>?>CBC! NE<B?! AH?N9:B! E:!

>ONDE:A><C>Q?E! PHE! Eb>:=B! E:=B! DE?BA>J<! CE! ABH:B?>CBC2! 69<:>CEDBO9:! =DE:!

:>=HBA>9<E:d!

No!Eb>:=>J!actuación incorrecta2!

No hay!ABH:B?>CBC2!

Sí hay!DE?BA>J<!CE!ABH:B?>CBC2!

][Ä`\!6()6"5&+()!+)-($/%!'%$+6+#"d!B<B?>pBO9:!?B:!A9<A?H:>9<E:!PHE!

T>GHDB<! E<! E?! ><T9DOE! NED>A>B?! CE?! O;C>A9! T9DE<:E2! 69<:>CEDBO9:! AHB=D9!

N9:>Q>?>CBCE:d!

Actuación correcta.

No hay evidencia de actuación incorrecta.

]^^!


)9!SBR!EV>CE<A>B!CE!BA=HBA>J<!><A9DDEA=B7!NED9!:@!CE mala información.

La actuación fue incorrecta.

]jÄ`\! $%&("56+()! 85,+6+#"d! %:! ?B! CEA>:>J<! PHE! =9OB! E?! =D>QH<B?! PHE!

A9<9AE!CE?!B:H<=9!CE<H<A>BC92!'HECE<!CBD:E!?B:!:>GH>E<=E:!:>=HBA>9<E:d!

#DAS>V9! =DB:! E?! ><T9DOE! NED>A>B?7! :><! =9OBD! CEA?BDBA>J<! B?! TBAH?=B=>V9!

CE<H<A>BC92!

#DAS>V9!=DB:!=9OBD!CEA?BDBA>J<!B?!O;C>A97!A9O9!>ONH=BC92!

6E?EQDBA>J<!CE!eH>A>9!A9<!:E<=E<A>B!BQ:9?H=9D>B2!

6E?EQDBA>J<!CE!eH>A>9!A9<!:E<=E<A>B!A9<CE<B=9D>B2!

'E<C>E<=E:!CE!DE:9?HA>J<!eHC>A>B?2!

]kÄ`\!.+'(!,%!6(),%)#d!&9<!BPHE??B:!CE<H<A>B:!PHE!BG9=B<!E?!NED>9C9!

CE!><:=DHAA>J<!R!:E!AE?EQDB!eH>A>9!9DB?7!=DB:!E?!AHB?!E?!=D>QH<B?!EO>=E!H<!TB??97!PHE!

E<!E?!AB:9!CE!PHE!:EB!CE!AH?NBQ>?>CBC7! >ON?>AB!H<B!A9<CE<B2!"B!A9<CE<B!NHECE!

:ED!N9D!TB?=B!9!N9D!CE?>=92!)9!Eb>:=E!A9<CE<B!AHB<C9!E?!B:H<=9!:E!BDAS>VB!CHDB<=E!

?B!TB:E!CE!><:=DHAA>J<7!9!Ba<!E:=U!NE<C>E<=E!CE!DE:9?HA>J<!eHC>A>B?2!

No hay A9<CE<B.

Pendiente CE!DE:9?HA>J<.

iBR!A9<CE<B!N9D falta.

iBR!A9<CE<B!N9D delito.

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SBQED?B! :>! E?! B:H<=9! :E! BDAS>VB! 9! E:=U! NE<C>E<=E! CE! DE:9?HA>J<w! ;:=B! NHECE!

A9<:>:=>D! E<! H<B! OH?=B7! H<B! NE<B! ND>VB=>VB! CE! ?>QED=BC! Rs9! H<! NED>9C9! CE!

><SBQ>?>=BA>J<!ND9TE:>9<B?2!

No SBR!NE<B.

Pendiente CE!DE:9?HA>J<!eHC>A>B?.

iBR!NE<B multa.

iBR!NE<B privativa de libertad.

iBR!NE<B!ND>VB=>VB!R!BCEOU: una inhabilitación2!

]nÄ`\! 6()6($,#)6+#! X+<T9DOE! NED>A>B?sDE:9?HA>J<! eHC>A>B?`d! %:=HC>BO9:!

:>! ?B! DE:9?HA>J<!PHE! =9OB!E?! =D>QH<B?! XBDAS>V97! :E<=E<A>B! A9<CE<B=9D>B7! E=AM`! E:!

BA9DCE!A9<!E?!C>A=BOE<!NED>A>B?2!%?!><T9DOE!NED>A>B?!<9!E:!V><AH?B<=E!NBDB!E?!eHEp7!

NED9! :>! ?B! DE:9?HA>J<! PHE! BC9N=B! E:=E! E:! A9<=DBD>B! B?! ><T9DOE! CEQEDU!

BDGHOE<=BD:E2!iBR!C9:!N9:>Q>?>CBCE:d!

SI.

NO.

n2_!$EA9G>CB!CE!CB=9:!R!O;=9C9!E:=BC@:=>A92!

%?!E:=HC>9!:E!DEB?>pB! ><VE:=>GB<C9!?B!C9AHOE<=BA>J<!CE!ABCB!B:H<=97!A9<!

QB:E!E<!?B!AHB?!:E!E?BQ9DJ!E?!><T9DOE!NED>A>B?!E<!:H!C@B2!&E!GHBDCB!A9N>B!CE!E:=9:!

C9AHOE<=9:7! B:@! A9O9! CE?! ><T9DOE! NED>A>B?! E<! ?9! BDAS>V9:! CE! ?B! 6/-2! %:=B!

C9AHOE<=BA>J<!GE<EDB?OE<=E! A9<:>:=E! E<! ><T9DOE:!O;C>A9:7! ?B!S>:=9D>B! A?@<>AB! 9!

NBD=E:!CE!E??B! X<9! :>EONDE! :E!N>CE!N9D!E?! 8HpGBC9! +<:=DHA=9D`7! ?B:!CEA?BDBA>9<E:!

CE?!CE<H<A>B<=E!R!CE?!O;C>A9!9!O;C>A9:!CE<H<A>BC9:2!

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+<:=DHAA>J<!CE!/BCD>C7!NBDB!:BQED!PH;!DE:9?HA>J<!eHC>A>B?!:E!=9OJ!E<!ABCB!AB:97!

B:@! A9O9!NBDB! :BQED! :>! E?! BDAS>V9! :E!ND9CHe9!NDEV>B!CEA?BDBA>J<!CE?!9T=B?OJ?9G9!

>ONH=BC9! 9! <92! %<! ?9:! DBD@:>O9:! #:H<=9:! E<! ?9:! PHE! :E! ??EGJ! B! ND9<H<A>BD!

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NÚMERO DE INFORMES POR AÑOS

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Gráfico 2.-!)aOED9!CE!><T9DOE:!NED>A>B?E:!N9D!Bh9!E<!BOQB:!&ED>E:2!

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9.5.1 VARIABLES RELACIONADAS CON LA DENUNCIA:

!

1.- SEXO DEL DENUNCIANTE:

%<!?B!:ED>E!Y7!E?!j^7nt!CE!?9:!CE<H<A>B<=E:!:9<!S9OQDE:7!TDE<=E!B?!Zn7Y!

t!PHE!:9<!OHeEDE:2!%<!?B!:ED>E!]7!?9:!S9OQDE:!:9?BOE<=E!:9<!E?!_j7lt7!TDE<=E!B!

?B:!OHeEDE:!PHE!:HN9<E<!E?![Z7]!t2!

sexo del denunciante * muestra estudiada Crosstabulation

14 22 36

60,9% 46,8% 51,4%

9 25 34

39,1% 53,2% 48,6%

23 47 70

100,0% 100,0% 100,0%

Count% within muestraestudiadaCount% within muestraestudiadaCount% within muestraestudiada

denunciante hombre

denunciante mujer

sexo deldenunciante

Total

serie 1 serie 2muestra estudiada

Total

Tabla 3.- ,>:=D>QHA>J<!CE!:Eb9!E<!BOQB:!:ED>E:!

]^[!


!

!

SEXO DEL DENUNCIANTE

0

5

10

15

20

25

30

SERIE 1 SERIE 2

nº

de d

enu

nci

ante

s

HOMBRESMUJERES

!

Gráfico 3.- &Eb9!CE?!CE<H<A>B<=E!E<!BOQB:!:ED>E:2!

!

)9! SEO9:! E<A9<=DBC9! C>TEDE<A>B! E:=BC@:=>ABOE<=E! :>G<>T>AB=>VB7! E<!

DE?BA>J<!B?!:Eb9!CE?!CE<H<A>B<=E!E<=DE!?B:!C9:!&ED>E:2!

Chi-Square Tests

1,222b 1 ,269,724 1 ,395

1,230 1 ,267,315 ,198

1,205 1 ,272

70

Pearson Chi-Square

Continuity Correctiona

Likelihood RatioFisher's Exact TestLinear-by-LinearAssociationN of Valid Cases

Value dfAsymp. Sig.

(2-sided)Exact Sig.(2-sided)

Exact Sig.(1-sided)

Computed only for a 2x2 tablea.

0 cells (,0%) have expected count less than 5. The minimum expected count is11,17.

b.

Tabla 4.- .E:=!6S>!AHBCDBC9!CE!VBD>BQ?E!:Eb9!CE?!CE<H<A>B<=E2!

]^j!


!

2.- EDAD DEL DENUNCIANTE:

"B!OEC>B!CE!ECBC!CE!?9:!CE<H<A>B<=E:!E<!?B!:ED>E!Y!THE!CE!_[!Xä!Yn7Yn`!

Bh9:!XA9<!H<!O@<>O9!CE!Y!Bh9!R!H<!OUb>O9!CE!k]!Bh9:`!R!E<!?B!:ED>E!]!THE!CE![^!

Xä!]Y7kl`!Bh9:!XA9<!H<!O@<>O9!CE!]!Bh9:!R!H<!OUb>O9!CE!lj!Bh9:`2!

!

EDAD DEL DENUNCIANTE

0102030405060708090

100

1 5 9 13 17 21 25 29 33 37 41 45

Nº de demanda

años

del

den

unci

ante

SERIE 1SERIE 2

!

Gráfico 4.- %CBC!CE?!?9:!CE<H<A>B<=E:!E<!BOQB:!:ED>E:2!

!

$EB?>pBC9!E?!.E:=!CE!"EVE<E7!9Q=E<EO9:!H<!DE:H?=BC9!CE!^7]n2!#?!<9!:ED!

:>G<>T>AB=>V9!B:HO>O9:!?B!>GHB?CBC!CE!?B:!VBD>B<pB:!CE!?B!VBD>BQ?E!ECBC!E<!BOQB:!

OHE:=DB:2!#N?>ABO9:!E?! =E:=!CE! ?B!.!CE!&=HCE<=!CE!A9ONBDBA>J<!CE!OEC>B:!NBDB!

OHE:=DB:! ><CENE<C>E<=E:7! PHE! <9:! CB! H<! VB?9D! CE! ^2_YZ2! #?! :ED! Ü! ^2^[7!

A9<:>CEDBO9:! PHE! no existe diferencia estadísticamente significativa! E<!

DE?BA>J<!B!?B!ECBC!E<!BOQB:!:ED>E:2!

]^k!


Group Statistics

23 45,35 19,19 4,0047 49,74 21,78 3,18

MUESTRAmuestra 1muestra 2

EDADN Mean Std. Deviation

Std. ErrorMean

Independent Samples Test

1,139 -,824 68,290 ,413 -4,40 5,34 -15,05 6,26

-,861 49,135 ,394 -4,40 5,11 -14,66 5,87

Equal varianceassumedEqual variancenot assumed

EDADF Sig.

Levene's Test forEquality of Variances

t df Sig. (2-tailed)Mean

DifferenceStd. ErrorDifference Lower Upper

95% ConfidenceInterval of the

Difference

t-test for Equality of Means

Tabla 5.- .!CE!&=HCE<=!CE!?B!VBD>BQ?E!ECBC2!

!

3.- ÁMBITO DE LA ACTUACIÓN DENUNCIADA:

%<!?B!OBR9D@B!CE!?B:!CE<H<A>B:7![]t!E<!?B!:ED>E!Y!R![Y!t!E<!?B!:ED>E!]7!?B!

B:>:=E<A>B!:E!NDE:=J!E<!?B!&B<>CBC!'aQ?>AB2!!

%<! ?B! :ED>E! Y! E?! :EGH<C9! UOQ>=9! B:>:=E<A>B?! E<! TDEAHE<A>B! E:! E?! CE! ?B:!

A9ONBh@B:!B:EGHDBC9DB:!A9<!H<!Z[t7!TDE<=E!B?!YZt!CE!?B!OEC>A><B!ND>VBCB2!%<!?B!

:ED>E! ]7! N9D! E?! A9<=DBD>97! E?! :EGH<C9! ?HGBD! E<! TDEAHE<A>B! ?9! 9AHNB! E?! UOQ>=9!

B:>:=E<A>B?! ND>VBC9! A9<! H<! Zlt7! TDE<=E! B! :9?9! E?! YYt! CE! ?B:! A9ONBh@B:!

B:EGHDBC9DB:2!

Hemos encontrado diferencia!E:=BC@:=>ABOE<=E!:>G<>T>AB=>VB!X.BQ?B!j2!

C9<CE!VEO9:!Nv!^2^Yk`!E<!DE?BA>J<!B?!UOQ>=9!B:>:=E<A>B?!E<!E?!PHE!:E!NDE:=J! ?B!

B:>:=E<A>B!9T=B?O9?JG>AB!E<!?B:!C9:!:ED>E:!E:=HC>BCB:2!

]^l!


ÁMBITO DE LA ASISTENCIA SANITARIA

3

8

12

18

5

24

0

5

10

15

20

25

30

MEDICINAPRIVADA

COMPAÑÍASASEGURADORAS

SANIDADPÚBLICA

nº d

e de

man

das

SERIE 1SERIE 2

Gráfico 5.- IOQ>=9!B:>:=E<A>B?!CE!?B!B:>:=E<A>B!NDE:=BCB2

ámbito de la asistencia * SERIE Crosstabulation

3 18 21

13,0% 38,3% 30,0%8 5 13

34,8% 10,6% 18,6%

12 24 36

52,2% 51,1% 51,4%23 47 70

100,0% 100,0% 100,0%

Count% within SERIE

Count% within SERIE

Count% within SERIE

Count% within SERIE

medicina privada

compañíasaseguradoras

sanidad pública

ámbito de laasistencia

Total

serie 1 serie 2SERIE

Total

Chi-Square Tests

8,134a 2 ,0178,266 2 ,016

1,377 1 ,241

70

Pearson Chi-Square

Likelihood RatioLinear-by-LinearAssociationN of Valid Cases

Value dfAsymp. Sig.

(2-sided)

1 cells (16,7%) have expected count less than 5. Theminimum expected count is 4,27.

a.

Tabla 6.- iBR!C>TEDE<A>B!E<!AHB<=9!B?!UOQ>=9!B:>:=E<A>B?2!

]^n!


KEO9:! PHE! <9! SBR! C>TEDE<A>B! E<=DE! ?B:! C9:! OHE:=DB:! E<! AHB<=9! B! ?B:!

CE<H<A>B:! ><=EDNHE:=B:!N9D!BA=HBA>9<E:!9T=B?O9?JG>AB:!E<! ?B!&B<>CBC!'aQ?>AB2!%<!

BOQ9:! AB:9:! :HN9<E<! ?B! O>=BC! BND9b>OBCBOE<=E! CE! ?9:! AB:9:2! 'ED9! :>!

A9ONBDBO9:! E?! <aOED9! CE! CE<H<A>B:! N9D! BA=HBA>9<E:! E<! &B<>CBC! 'D>VBCB7!

encontramos un!incremento significativo!E<!?9:!a?=>O9:!C>Ep!Bh9:2!

!

Denuncias en Sanidad Privada * Serie Crosstabulation

3 18 21

14,3% 85,7% 100,0%

20 29 49

40,8% 59,2% 100,0%

23 47 70

32,9% 67,1% 100,0%

Count

% within Denunciasen Sanidad PrivadaCount% within Denunciasen Sanidad PrivadaCount% within Denunciasen Sanidad Privada

caso

No caso

Denuncias enSanidad Privada

Total

Serie 1 Serie 2Serie

Total

Chi-Square Tests

4,690b 1 ,0303,565 1 ,0595,152 1 ,023

,050 ,026

4,623 1 ,032

70

Pearson Chi-Square



Value dfAsymp. Sig.


Exact Sig.(1-sided)



b.

Tabla 7.- iBR!H<!><ADEOE<=9!:>G<>T>AB=>V9!CE?!<aOED9!CE!CE<H<A>B:!N9D!

BA=HBA>9<E:!E<!?B!&B<>CBC!'D>VBCB2!

]Y^!


.BOQ>;<! E<A9<=DBO9:! :>G<>T>ABA>J<! E:=BC@:=>AB! E<! ?B! C>:O><HA>J<! CE!

CE<H<A>B:! N9D! BA=HBA>9<E:! 9T=B?O9?JG>AB:! E<! E?! UOQ>=9! B:>:=E<A>B?! CE! ?B:!

A9ONBh@B:!B:EGHDBC9DB:2!

!

CIAS * SERIE Crosstabulation

8 5 1361,5% 38,5% 100,0%

15 42 5726,3% 73,7% 100,0%

23 47 7032,9% 67,1% 100,0%

Count

% within CIASCount% within CIASCount% within CIAS

caso

No caso

Comp. deSeguros.

Total

Serie 1 Serie 2SERIE

Total

Chi-Square Tests

5,953b 1 ,0154,463 1 ,0355,617 1 ,018

,022 ,019

5,868 1 ,015

70

Pearson Chi-Square



Value dfAsymp. Sig.


Exact Sig.(1-sided)


1 cells (25,0%) have expected count less than 5. The minimum expected count is4,27.

b.

Tabla 8.- %<A9<=DBO9:!H<!CEADEOE<=9!:>G<>T>AB=>V9!CE?!<aOED9!CE!

CE<H<A>B:!N9D!BA=HBA>9<E:!E<!?B!69ONBh@B:!#:EGHDBC9DB:2!

!

!

!

!

!

]YY!


4.- ACTUACIÓN OFTALMOLÓGICA DENUNCIADA:

%<!?B!Serie 17!E?!GDHN9!OBR9D>=BD>9!CE!CE<H<A>B:!?9!A9<:=>=HRE!?B!6>DHG@B!

CE!6B=BDB=B:7!DENDE:E<=B<C9!E?!_]t!CE?!=9=B?2!%?!:EGH<C9!GDHN9!E<!TDEAHE<A>B!:9<!

?B:! 5DGE<A>B:! 9T=B?O9?JG>AB:! PHE! :HN9<E<! H<! ]]t2! "9:! GDHN9:! DE:=B<=E:!

XCE:NDE<C>O>E<=9! CE! DE=><B7! G?BHA9OB7! ?B! A>DHG@B! DETDBA=>VB! R! 9=D9:`! E:=U<!

>GHB?BC9:!E<!TDEAHE<A>B7!DENDE:E<=B<!ABCB!H<9!H<!nt!CE?!=9=B?!CE!CE<H<A>B:2!iBR!

PHE!CE:=BABD!PHE!<9!SHQ9!<><Ga<!AB:9!CE!CE<H<A>B!N9D!H<!ND9Q?EOB!CE!(DQ>=B!R!

B<Ee9:!9AH?BDE:2!

!

!

ACTUACIONES OFTALMOLÓGICAS EN LA SERIE 1

CATARATAS; 10; 42%

REFRACTIVA; 2; 9%

URGENCIAS; 5; 22%

GLAUCOMA; 2; 9%

DR; 2; 9%

ANEJOS; 0; 0%

OTROS; 2; 9%

CATARATASREFRACTIVAURGENCIASGLAUCOMADRANEJOSOTROS

!

Gráfico 6.- #A=HBA>9<E:!(T=B?O9?JG>AB:!PHE!9D>G><B<!?B!CE<H<A>B!E<!?B!:ED>E!Y!

!

]Y]!


%<! ?B!Serie 2! =BOQ>;<! ?B! 6>DHG@B! CE! 6B=BDB=B:! E:! E?! GDHN9!OBR9D>=BD>97!

A9<! H<! _^t7! :EGH>C9! E<! TDEAHE<A>B! CE! ?B! 6>DHG@B! $ETDBA=>VB! A9<! H<! Ynt2! "9:!

GDHN9:!PHE!9AHNB<!>GHB?BC9:!E?!=EDAED!?HGBD!E<!TDEAHE<A>B!:9<!E?!GDHN9!CE!#<Ee9:!

(AH?BDE:!R!(=D9:2!"B:!5DGE<A>B:!(T=B?O9?JG>AB:!:HN9<CD@B!BPH@!H<!nt7!:EGH>CB:!

CE?! GDHN9! CE! CE:NDE<C>O>E<=9! CE! DE=><B! PHE! :HN9<E! H<! jt! R! T><B?OE<=E! E?!

1?BHA9OB!PHE!:9?9!:HN9<E!H<!jt2!

!

ACTUACIONES OFTALMOLÓGICAS EN LA SERIE 2

CATARATAS; 19; 40%

REFRACTIVA; 9; 19%

URGENCIAS; 4; 9%

GLAUCOMA; 2; 4%

DR; 3; 6%

ANEJOS; 5; 11%

OTROS; 5; 11%

CATARATASREFRACTIVAURGENCIASGLAUCOMADRANEJOSOTROS

Gráfico 7.- #A=HBA>9<E:!(T=B?O9?JG>AB:!PHE!9D>G><B<!?B!CE<H<A>B!E<!?B!:ED>E!]2!

!

%?! <aOED9! CE! CE<H<A>B:! N9D! BA=HBA>9<E:! 9T=B?O9?JG>AB:! A9<:>:=E<=E:! E<!

intervenciones de cirugía refractiva!BHOE<=J!E<!E:=9:!C>Ep!Bh9:7!CE!]!AB:9:!

XH<!nt!BND9b2`!E<!?B!:ED>E!Y7!B!n!AB:9:!XH<!Ynt!BND9b2`!E<!?B!:ED>E!]7!NED9!E:=E!

BHOE<=9!<9!=>E<E!:>G<>T>ABA>J<!E:=BC@:=>AB2!

]YZ!


cirugía refractiva * SERIE Crosstabulation

21 38 5991,3% 80,9% 84,3%

2 9 11

8,7% 19,1% 15,7%23 47 70

100,0% 100,0% 100,0%

Count% within SERIECount% within SERIE

Count% within SERIE

no caso

caso

cirugía refractiva

Total


Total

Chi-Square Tests

1,274b 1 ,259,607 1 ,436

1,389 1 ,239,318 ,222

1,256 1 ,262

70

Pearson Chi-Square



Value dfAsymp. Sig.


Exact Sig.(1-sided)



b.

Tabla 9.-!)9!E<A9<=DBO9:!:>G<>T>ABA>J<!E:=BC@:=>AB!E<!E?!BHOE<=9!CE?!<aOED9!CE!

CE<H<A>B:!N9D!A>DHG@B!DETDBA=>VB2!

.BON9A9!E<A9<=DBO9:!C>TEDE<A>B!:>G<>T>AB=>VB!E:=BC@:=>ABOE<=E!E<!E?!DE:=9!

CE!?B:!BA=HBA>9<E:!9T=B?O9?JG>AB:!CE<H<A>BCB:2!

!

!

5.- FECHA DE LA ACTUACIÓN DENUNCIADA:

%<! ?B! &ED>E! Y! ?B:! BA=HBA>9<E:! 9T=B?O9?JG>AB:! PHE! 9AB:>9<BD9<! ?B:!

CE<H<A>B:!=HV>ED9<!?HGBD!E<=DE!?9:!Bh9:!Y2nlj!R!YnnZ7!O>E<=DB:!PHE!E<!?B!&ED>E!]!

:E!ND9CHeED9<!E<=DE!?9:!Bh9:!Y2nln!R!]2^^Z2!XKED!.BQ?B![`2!

!

!

]Y_!


6.- FECHA DEL INFORME PERICIAL REALIZADO:

%<!?B!&ED>E!Y!:E!DEB?>pBD9<!?9:!><T9DOE:!NED>A>B?E:!CHDB<=E!?9:!Bh9:!Y2nn^!B!

Y2nnZ7!O>E<=DB:!PHE!E<! ?B!&ED>E!]! ?9:! ><T9DOE:! THED9<! DEB?>pBC9:!E<=DE! ?9:!Bh9:!

]2^^^!R!E?!]2^^Z2!XKED!.BQ?B![`2!

!!!

#F(&! lj! lk ll! ln! n^ nY n] nZ n_ n[ nj nk! nl! nn! ^^ ^Y ^] ^Z#A=HBA>J<!&ED>E!Y!

]! Y! ]! Z! Z! j! _! ]! ! ! ! ! ! ! ! ! ! !

+<T9DOE:!&ED>E!Y!

! ! ! ! j! ]! Z! Y] ! ! ! ! ! ! ! ! ! !

#A=HBA>J<!&ED>E!]!

! ! ! Y! ! ! ! ! ! ]! ]! ]! j! n! Y_ j! _! Y!

+<T9DOE!!&ED>E!]!

! ! ! ! ! ! ! ! ! ! ! ! ! ! Yj k! k! Yk

! !Tabla 10.- )aOED9!CE!BA=HBA>9<E:!9T=B?O9?JG>AB:!CE<H<A>BCB:!R!CE!><T9DOE:!

NED>A>B?E:!DEB?>pBC9:!C>:=D>QH>C9:!N9D!Bh9:2!!

!

7.- TIEMPO TRANSCURRIDO ENTRE LA ACTUACION

OFTALMOLOGICA Y EL INFORME PERICIAL:

%<! ?B! &ED>E! ND>OEDB! E?! =>EON9! OEC>9! =DB:AHDD>C9! CE:CE! ?B! ><=EDVE<A>J<!

CE<H<A>BCB!R!?B!EO>:>J<!CE?!><T9DOE!NED>A>B?!THE!CE!]_!Xä!Y_7_Z`!OE:E:7!O>E<=DB:!

PHE! E<! ?B! &ED>E! ]! THE! CE! ]k! Xä! ]]7nn`! OE:E:2! $EB?>pB<C9! E?! =E:=! CE! ?B! .! CE!

&=HCE<=!NBDB!A9ONBDBD!BOQB:!OEC>B:!X.BQ?B!n`7!9Q=E<EO9:!H<!VB?9D!CE!^7jYn7!B?!

:ED!Ü^2^[7!A9<:>CEDBO9:!PHE!no existe diferencia!E:=BC@:=>ABOE<=E!:>G<>T>AB=>VB!

E<=DE! E?! =>EON9! =DB<:AHDD>C9! CE:CE! E?! C@B! E<! E?! PHE! :E! DEB?>pJ! ?B! ><=EDVE<A>J<!

9T=B?O9?JG>AB!CE<H<A>BCB!R!?B!TEASB!E<!?B!PHE!:E!T>DOJ!E?!><T9DOE!NED>A>B?2!

!

!

]Y[!


TIEMPO DESDE LA ACTUACION OFTALMOLÓGICA HASTA EL INFORME PERICIAL

0

20

40

60

80

100

120

140

1 5 9 13 17 21 25 29 33 37 41 45

Nº de demanda

Mes

es t

rans

curr

idos

Serie1Serie2

!

Gráfico 8.- .>EON9!CE:CE!?B!BA=HBA>J<!SB:=B!E?!><T9DOE!NED>A>B?2!

!

Group Statistics

23 24,00 14,43 3,01

47 26,62 22,99 3,35

SERIEserie 1

serie 2meses desdeactuación

N Mean Std. DeviationStd. Error

Mean

Independent Samples Test

2,428 ,124 -,499 68 ,619 -2,62 5,25 -13,08 7,85

-,581 63,631 ,563 -2,62 4,51 -11,62 6,38

Equal variancassumedEqual variancnot assumed

meses desde actuaF Sig.

Levene's Test forEquality of Variances

t df Sig. (2-tailed)Mean

DifferenceStd. ErrorDifference Lower Upper

95% ConfidenceInterval of the

Difference

t-test for Equality of Means

Tabla 11.- .!CE!&=HCE<=!CE?!=>EON9!=DB<:AHDD>C9!CE:CE!?B!><=EDVE<A>J<!

CE?!9T=B?OJ?9G9!SB:=B!PHE!:E!DEB?>pJ!E?!><T9DOE!NED>A>B?2!

!

]Yj!


8.- TIPO DE CONDUCTA IMPRUDENTE DENUNCIADA:

"B!OBR9D@B!CE!?B:!A9<CHA=B:!>ONDHCE<=E:!CE<H<A>BCB:!EDB<!impericias7!

??EGB<C9!B!A9<:=>=H>D!E?!_lt!CE!?B:!CE<H<A>B:!CE!?B!&ED>E!Y!R!E?!jlt!CE!?B:!CE!?B!

&ED>E!]2!

"B:!negligencias!EDB<!E?!GDHN9!><=EDOEC>9!R!:HN9<@B<!E?!Znt!E<!?B!&ED>E!

Y7!TDE<=E!B?!Ynt!E<!?B!&ED>E!]2!

%?! GDHN9! O><9D>=BD>9! EDB<! ?B:! imprudencias7! ND9N>BOE<=E! C>ASB:7! PHE!

A9<:=>=H@B<!E?!YZt!E<!BOQB:!&ED>E:2!

CONDUCTA IMPRUDENTE DENUNCIADA

119

3

32

96

0

5

10

15

20

25

30

35

Impericia Negligencia Imprudencia

Nº

de d

enun

cias

Serie1Serie2

!

Gráfico 9.- .>N9!CE!A9<CHA=B!>ONDHCE<=E!E<!BOQB:!:ED>E:2!

Tipo de conducta imprudente * SERIE Crosstabulation

11 32 4347,8% 68,1% 61,4%

9 9 1839,1% 19,1% 25,7%

3 6 913,0% 12,8% 12,9%

23 47 70100,0% 100,0% 100,0%

Count% within SERIECount% within SERIECount% within SERIECount% within SERIE

impericia

negligencia

imprudencia

Tipo de conductaimprudente

Total

0 1SERIE

Total

]Yk!


Chi-Square Tests

3,431a 2 ,1803,330 2 ,189

1,266 1 ,260

70

Pearson Chi-Square


Value dfAsymp. Sig.

(2-sided)


a.

Tabla 12.- )9!SBR!C>TEDE<A>B!E<!AHB<=9!B?!=>N9!CE!A9<CHA=B!>ONDHCE<=E2!

9.- MOTIVO DE LA DENUNCIA:

%<! ?B!Serie 1! ?B!OBR9D@B!CE! ?B:!CE<H<A>B:!:E!N?B<=EB<!N9D!H<!DE:H?=BC9!

<9!CE:EBC9!Rs9!N9D!OB?B! ><T9DOBA>J<!Xl!AB:9:!\!Z[t`w!E?!:EGH<C9!O9=>V9!E:!E?!

EDD9D!C>BG<J:=>A9!Xj!AB:9:\!]jt`w!E<!=EDAED! ?HGBD7! ?9:!EDD9DE:!E<! ?B!EeEAHA>J<!X[!

CE<H<A>B:! ]]t`w! R! E<! AHBD=9! ?HGBD! N9D! ND9Q?EOB:! CE! DE?BA>J<!O;C>A9sNBA>E<=E!

XC9:!AB:9:!\nt`2!%?!DE:=9!CE!?9:!O9=>V9:!XEDD9D!CE!><C>ABA>J<!9!><=ED;:!EA9<JO>A9`!

:J?9! ?9:! E<A9<=DBO9:! E<! H<! AB:9! X_t`2! )9! SHQ9! AB:9:! CE! CE<H<A>B! N9D! CE?>=9!

C9?9:92!!

]Yl!


SERIE 1

Mal resultado o mala información

35%

Error diagnóstico26%

Mala indicación4%

Interés económico4%

Mala relación M/P9% Actuación dolosa

0%

Error en la ejecucuón

22%

!

Gráfico 8.- /9=>V9!CE!?B:!CE<H<A>B:!E<!?B!&ED>E!Y2

%<! ?B!Serie 27! =BOQ>;<!E?!O9=>V9!OU:! TDEAHE<=E!CE!CE<H<A>B! E:! E?!OB?!

DE:H?=BC9!9!?B!OB?B!><T9DOBA>J<!A9<!]n!AB:9:!Xj]t`2!%<!:EGH<C9!?HGBD!?9:!EDD9DE:!

E<! ?B!EeEAHA>J<!A9<!j!AB:9:!XYZt`2!%?! =EDAED! ?HGBD!E<! TDEAHE<A>B! ?9! DENDE:E<=B<!

?9:!EDD9DE:!C>BG<J:=>A9:7!A9<![!CE<H<A>B:!XY^t`2!-><B?OE<=E!E:=U<!?B:!CE<H<A>B:!

N9D!OB?B!DE?BA>J<!O;C>A9sNBA>E<=E7!N9D!><C>ABA>J<!><A9DDEA=B!9!N9D!A?BD9:!><=EDE:E:!

EA9<JO>A9:7!PHE!A9<!]!AB:9:!ABCB!H<9!:HN9<E<!H<!_t!CE?!=9=B?2!-><B?OE<=E!SBR!

H<!AB:9!X]t`!CE!CE<H<A>B!N9D!CE?>=9!C9?9:92!

]Yn!


SERIE 2

Mal resultado o mala información

62%Error diagnóstico11%

Mala indicación4%

Interés económico4%

Mala relación M/P4%

Actuación dolosa2%

Error en la ejecucuón

13%

!

Gráfico 9.- /9=>V9!CE!?B:!CE<H<A>B:!E<!?B!&ED>E!]2!

!

!

iEO9:! A9ONBDBC9! ?B! NDEVB?E<A>B! CE?! GDHN9! OBR9D>=BD>97! E:! CEA>D7! ?B:!

DEA?BOBA>9<E:! N?B<=EBCB:! N9D! SBQED! 9Q=E<>C9! H<! DE:H?=BC9! <9! CE:EBC97! 9! N9D!

A?BD9:!ND9Q?EOB:!CE!><T9DOBA>J<!R!SEO9:!9Q=E<>C9!PHE!hay un incremento de

reclamaciones con significación estadística en la Serie 2.!rH>EDE!E:=9!CEA>D!

PHE!:E!N?B<=EB<!OU:!CE<H<A>B:!N9D!OB?B!NDBb>:!A9<=DB!9T=B?OJ?9G9:!E<!<HE:=D9!

]]^!


OEC>9!N9D!H<!DE:H?=BC9!<9!CE:EBC9!9!N9D!ND9Q?EOB:!CE!><T9DOBA>J<7!BA=HB?OE<=E!

PHE!SBAE!Y^!Bh9:2!!

!

Mal resultado o mala información * series Crosstabulation

8 29 3734,8% 61,7% 52,9%

15 18 3365,2% 38,3% 47,1%

23 47 70100,0% 100,0% 100,0%

Count% within seriesCount% within seriesCount% within series

caso

no caso

Mal resultado o malainformación

Total

serie 1 serie 2series

Total

Chi-Square Tests

4,491b 1 ,0343,476 1 ,0624,534 1 ,033

,043 ,031

4,427 1 ,035

70

Pearson Chi-Square



Value dfAsymp. Sig.


Exact Sig.(1-sided)



b.

Tabla 13.- iBR!H<!><ADEOE<=9!:>G<>T>AB=>V9!CE!?B:!CE<H<A>B:!N9D!

DE:H?=BC9!<9!CE:EBC9!9!N9D!OB?B!><T9DOBA>J<7!E<!?9:!a?=>O9:!Y^!Bh9:2!

!

!

!

!

!

!

]]Y!


9.5.2 VARIABLES RELACIONADAS CON EL MÉDICO:

1.- INFORMACIÓN AL PACIENTE:

%<!?B!Serie 17!E<!?B!OBR9D@B!CE!?9:!AB:9:7!]Y!CE!?B:!]Z!CE<H<A>B:!XnY7Z!

t`7!E?!C9AHOE<=9!CE!A9<:E<=>O>E<=9!><T9DOBC97!<9!Eb>:=E!9!E<!AB:9!CE!Eb>:=>D!<9!

?9! A9<:>CEDBO9:! VU?>C92! &9?BOE<=E! E<A9<=DBO9:! C9AHOE<=9! CE! 6+! VU?>C9! E<! ]!

AB:9:7!E:!CEA>D7!E<!H<!l7k!t2!

!%<! ?B! Serie 27! =BON9A9! SBR! C9AHOE<=9! CE! 6+7! 9! <9! E:! VU?>C9! E<! ?B!

OBR9D@B!CE!?9:!AB:9:!ZZ!CE!?9:!_k!Xk^7]!t`2!%?!6+!THE!A9<:>CEDBC9!VU?>C9!E<!Y_!

AB:9:7!E:!CEA>D!E<!E?!]n7l!CE!?9:!AB:9:2!

!

CONSENTIMIENTO INFORMADO SERIE 1

CI INCORRECTO

91%

CI VÁLIDO9%

!

Gráfico 10.- +<T9DOBA>J<!E<!?B!&ED>E!Y2!

]]]!


CONSENTIMIENTO INFORMADO SERIE 2

CI INCORRECTO

70%

CI VÁLIDO30%

!

Gráfico 11.- +<T9DOBA>J<!E<!?B!&ED>E!]2!

!

iEO9:!A9ONBDBC9!?9:!AB:9:!E<!?9:!PHE!E?!A9<:E<=>O>E<=9!THE!VU?>C9!E<!?B!

:ED>E! Y! X]! AB:9:`7! A9<! ?9:! PHE! THE! VU?>C9! E<! ?B! :ED>E! ]! XY_! AB:9:`7! TDE<=E! B! ?9:!

AB:9:!E<!?9:!PHE!E?!C9AHOE<=9!CE!A9<:E<=>O>E<=9!><T9DOBC9!<9!?9!A9<:>CEDBO9:!

VU?>C92!&ED@B<!]Y!AB:9:!E<!?B!:ED>E!Y7!TDE<=E!B!ZZ!AB:9:!E<!?B!:ED>E!]2!KEO9:!!H<!

A?BD9! ><ADEOE<=9! CE?! N9DAE<=BeE! CE! C9AHOE<=9:! CE! 6+! VU?>C9:! E<! ?B! :ED>E! ]!

X]n7lt`!TDE<=E!B!?B!:ED>E!Y!Xl7kt`2!

consentimiento informado * SERIE Crosstabulation

2 14 16

8,7% 29,8% 22,9%21 33 54

91,3% 70,2% 77,1%23 47 70

100,0% 100,0% 100,0%

Count% within SERIE

Count% within SERIE

Count% within SERIE

CI válido

sin CI o no válido

consentimientoinformado

Total


Total

]]Z!


Chi-Square Tests

3,896b 1 ,0482,792 1 ,0954,415 1 ,036

,069 ,042

3,840 1 ,050

70

Pearson Chi-Square



Value dfAsymp. Sig.


Exact Sig.(1-sided)



b.

Tabla 14.- 6S>\!6HBCDBC9!CE?!A9<:E<=>O>E<=9!><T9DOBC92!

!

#?! :ED! Ñ^2^[! E?! DE:H?=BC9! CE?! =E:=! 6S>\AHBCDBC97! ><C>AB! PHE! E:!

E:=BC@:=>ABOE<=E!:>G<>T>AB=>VB!?B!C>TEDE<A>B!CE!B:H<=9:!E<!?9:!PHE!E<A9<=DBO9:!H<!

C9AHOE<=9!CE!6+!VU?>C9!E<!?B!:ED>E!]7!A9<!DE:NEA=9!B!?B!:ED>E!Y2!%:!CEA>D!PHE!E<!

E:=9:!C>Ep!a?=>O9:!Bh9:!se ha incrementado de forma significativa E?!<aOED9!

CE! B:H<=9:! E<! ?9:! PHE! E?! C9AHOE<=9! CE! 6+! E:! A9DDEA=92! #! NE:BD! CE! E??97!

BA=HB?OE<=E!:>GHE!:>E<C9! ><A9DDEA=9!9!<9!Eb>:=>E<C9!E:=E!C9AHOE<=9!E<!E?!k^t!

CE!?9:!B:H<=9:2!

!

2.- EXISTENCIA DE INFORMES MÉDICOS CRÍTICOS CON LA

ACTUACIÓN PROFESIONAL DEL OFTALMÓLOGO DENUNCIADO:

%<! ?B! Serie 17! :9?BOE<=E! :E! BN9D=BD9<! E:AD>=9:! AD>=>AB<C9! ?B! BA=HBA>J<!

ND9TE:>9<B?!CE?!9T=B?OJ?9G9!CE<H<A>BC9!E<!C9:!AB:9:!CE!?B:!]Z!CE<H<A>B:2!%<!_!CE!

?B:!]Y!CE<H<A>B:!DE:=B<=E:7!E?!CE<H<A>B<=E!DETED@B!E<!:H!CEA?BDBA>J<!9!B! ?9! ?BDG9!

CE?!E:AD>=9!CE!BAH:BA>J<7!PHE!9=D9:!9T=B?OJ?9G9:!AD>=>ABD9<!?B!BA=HBA>J<!ND9TE:>9<B?!

CE?! 9T=B?OJ?9G9! CE<H<A>BC97! NED9! <9! ?9:! BN9D=BQB! N9D! E:AD>=92! #?! <9! =E<ED!

A9<:=B<A>B!C9AHOE<=B?!CE!E:=B:!AD@=>AB:7!NE<:BO9:!PHE!<9!NHECE<!:ED!=E<>CB:!E<!

AHE<=B!E<!H<!=DBQBe9!CE!><VE:=>GBA>J<!A>E<=@T>AB2!

]]_!


%<! ?B!Serie 27! :E! BN9D=B<! ><T9DOE:!O;C>A9:! AD>=>AB<C9! ?B! BA=HBA>J<! CE?!

ND9TE:>9<B?!PHE!?HEG9!E:!CE<H<A>BC9!E<!Y]!CE<H<A>B:7!?9!PHE!:>G<>T>AB!H<!]jt!CE!

?9:!AB:9:2!69O9!9AHDD@B!E<!?B!:ED>E!Y7!SBR!_!CE!?B:!Z[!CE<H<A>B:!DE:=B<=E:!Xl7[t!

CE?! =9=B?`! E<! ?B:! PHE! E?! CE<H<A>B<=E! DETED@B! AD@=>AB:! CE! 9=D9:! 9T=B?OJ?9G9:! B! ?B!

BA=HBA>J<!ND9TE:>9<B?!CE?!CE<H<A>BC97!NED9!N9D! ?B:!O>:OB:! DBp9<E:!PHE!S>A>O9:!

E<!?B!:ED>E!Y7!<9!SB<!:>C9!=E<>C9:!E<!AHE<=B2!

Escritos criticando al oftalmólogo * Series Crosstabulation

2 12 14

8,7% 25,5% 20,0%21 35 56

91,3% 74,5% 80,0%23 47 70

100,0% 100,0% 100,0%

Count% within Series

Count% within SeriesCount% within Series

aporta escritos

No hay escritos

Escritoscriticando aloftalmólogo

Total

Serie 1 Serie 2Series

Total

Chi-Square Tests

2,736b 1 ,0981,785 1 ,1823,064 1 ,080

,122 ,087

2,697 1 ,101

70

Pearson Chi-Square



Value dfAsymp. Sig.


Exact Sig.(1-sided)



b.

Tabla 15.- &E!BN9D=B<!OU:!E:AD>=9:!AD@=>A9:!A9<=DB!E?!9T=B?OJ?9G9!PHE!

SBAE!Y^!Bh9:2!

&E! SB! ><ADEOE<=BC9! CE! T9DOB! >ON9D=B<=E! E?! <aOED9! CE! CE<H<A>B:! PHE!

BN9D=B<! ><T9DOE:! 9T=B?O9?JG>A9:! AD>=>AB<C9! ?B! BA=HBA>J<! CE?!O;C>A9! CE<H<A>BC92!

%<! ?9:! a?=>O9:! C>Ep! Bh9:7! E?! N9DAE<=BeE! SB! BHOE<=BC9! CE! H<! nt! B! H<! ]jt7!

BH<PHE!<9!SEO9:!E<A9<=DBC9!:>G<>T>ABA>J<!E:=BC@:=>AB7!E?!VB?9D!PHE!9Q=E<EO9:!B?!

DEB?>pBD!E?!AS>\AHBCDBC9!XN!v!^2^nl`!E:=U!OHR!NDJb>O9!B!N9CED!CEO9:=DBD?B2!!

]][!


!

ESCRITOS CRITICANDO AL OFTALMÓLOGO

22

1

35

12

0

5

10

15

20

25

30

35

40

No refiere, o no losaporta

Aporta escritos

nº d

e de

man

das

SERIE 1SERIE 2

Gráfica 12.- %:AD>=9:!AD@=>A9:!BN9D=BC9:!A9<!?B!CE<H<A>B2!

3.- RELACIÓN MÉDICO/PACIENTE:

"B! DE?BA>J<! THE!Mala! E<!OU:!CE! ?B!O>=BC!CE! ?9:! AB:9:!E<!BOQB:!:ED>E:!

X[kt`2!-HED9<!YZ!AB:9:!E<!?B!&ED>E!Y!R!]k!E<!?B!&ED>E!]2!"B!DE?BA>J<!THE!Normal7!

:9?BOE<=E! E<! H<! =EDA>9! CE! ?9:! AB:9:d! Z^t! Xk! AB:9:`! E<! ?B! &ED>E! Y! R! Z_t! XYj!

AB:9:`!E<!?B!&ED>E!]2!q!SHQ9!Abandono E<!Z!AB:9:!XYZt`!CE!?B!&ED>E!Y!R!E<!_!

Xl7[t`!CE!?B!&ED>E!]2!

]]j!


Relación médico/paciente * SERIE Crosstabulation

13 27 40

56,5% 57,4% 57,1%7 16 23

30,4% 34,0% 32,9%3 4 7

13,0% 8,5% 10,0%23 47 70

100,0% 100,0% 100,0%

Count% within SERIE

Count% within SERIE

Count% within SERIE

Count% within SERIE

mala

normal

abandono

Relaciónmédico/paciente

Total


Total

Chi-Square Tests

,381a 2 ,827,368 2 ,832

,101 1 ,751

70

Pearson Chi-Square


Value dfAsymp. Sig.

(2-sided)


a.

Tabla 16.- 6S>\AHBCDBC9!CE!?B DE?BA>J<!O;C>A9\NBA>E<=E!

!

)9!E<A9<=DBO9:!C>TEDE<A>B!E:=BC@:=>ABOE<=E! :>G<>T>AB=>VB7!E<!AHB<=9!B! ?B!

DE?BA>J<!O;C>A9!NBA>E<=E!E<=DE!BOQB:!:ED>E:2!

!

]]k!


7

1613

27

3 4

0

5

10

15

20

25

30

1 2 3

Normal mala Abandono

RELACIÓN MÉDICO-PACIENTE

Serie1Serie2

Gráfica 13.- $E?BA>J<!O;C>A9sNBA>E<=E2!

4.- TITULACIÓN DEL MÉDICO DENUNCIADO:

%<! ?B!Serie 17! E<A9<=DBO9:! PHE! E<=DE! ?9:! CE<H<A>BC9:! ?B!OBR9D@B! :9<!

9T=B?OJ?9G9:!XYl!CE!?B:!]Z!CE<H<A>B:`2!iBR!Z!O;C>A9:!GE<EDB?E:!R!Y!DE:>CE<=E!CE!

9T=B?O9?9G@B!R!Y!E:NEA>B?>:=B!<9!9T=B?OJ?9G92!

!

!

!

!

!

!

!

]]l!


!

TITULACIÓN EN SERIE 1

79%

4%

4%

13%

OFTALMÓLOGOESPECIALÍSTAMIR OFTALMOLMÉDICO GENERAL

!

Gráfica 14.- .>=H?BA>9<E:!E<!?B!&ED>E!Y7!E<!N9DAE<=BeE:2!

!

%<! ?B! Serie 27! =BOQ>;<! E?! GDHN9! OBR9D>=BD>9! CE! ?B:! CE<H<A>B:! ?9!

DENDE:E<=B<! ?9:! 9T=B?OJ?9G9:7! A9<! Zn! AB:9:! CE! ?9:! _k2! iBR! _! E:NEA>B?>:=B:! <9!

9T=B?OJ?9G9:!R!Z!O;C>A9:!GE<EDB?E:!CE<H<A>BC9:7!R!H<!AB:9!CE!H<!DE:>CE<=E!CE!

9T=B?O9?9G@B2!

TITULACIÓN EN SERIE 2

89%

2%

2%

7%

OFTALMÓLOGO

ESPECIALÍSTA

MIR OFTALMOL

MÉDICO GENERAL

!

Gráfica 15.- .>=H?BA>9<E:!E<!?B!&ED>E!]7!E<!N9DAE<=BeE:2!

]]n!


69ONBDBO9:!E?! <aOED9!CE!CE<H<A>B:! DEB?>pBCB:! A9<=DB!9T=B?OJ?9G9:!E<!

BOQB:!:ED>E:7!<9!9Q=E<>E<C9!C>TEDE<A>B!E:=BC@:=>ABOE<=E!:>G<>T>AB=>VBd!

titulación del médico denunciado * SERIE Crosstabulation

5 8 13

21,7% 17,0% 18,6%18 39 57

78,3% 83,0% 81,4%23 47 70

100,0% 100,0% 100,0%

Count% within SERIE

Count% within SERIE

Count% within SERIE

médico no oftalmólogo

oftalmólogo

titulación delmédicodenunciado

Total


Total

Chi-Square Tests

,227b 1 ,634,022 1 ,881,223 1 ,637

,746 ,431

,224 1 ,636

70

Pearson Chi-Square



Value dfAsymp. Sig.


Exact Sig.(1-sided)



b.

Tabla 17.- #<U?>:>:!CE!?B!=>=H?BA>J<!CE?!O;C>A9!CE<H<A>BC92!

5.- CAPACITACION PROFESIONAL DEL MÉDICO DENUNCIADO:

%<! ?B! ><OE<:B! OBR9D@B! CE! ?9:! AB:9:! E?! O;C>A9! CE<H<A>BC9! =E<@B!

BADEC>=BCB! ?B!T9DOBA>J<!R!ABNBA>=BA>J<!NBDB!DEB?>pBD!E:E!=>N9!CE! ><=EDVE<A>J<d!Yn!

AB:9:!XlZt`!E<!?B!&ED>E!Y7!TDE<=E!B!_Y!AB:9:!Xlkt`!E<!?B!&ED>E!]2!)9!<9:!A9<:=B!

PHE!E:=HV>EDB!ABNBA>=BC9!NBDB!DEB?>pBD!E:E!=>N9!CE!BA=HBA>J<!E<!Z!AB:9:!XYZt`!CE!

?B!ND>OEDB!:ED>E!R!E<!_!AB:9:!Xnt`!CE!?B!:EGH<CB2!)9!E:=BQB!ABNBA>=BC9!E<!Y!AB:9!

CE!?B!&ED>E!Y!R!E<!]!AB:9:!CE!?B!&ED>E!]7!?9!AHB?!:HN9<E!H<!N9DAE<=BeE!CE?!_t!CE!

?B:!CE<H<A>B:!CE!BOQB:!:ED>E:2!

]Z^!


19

1 3

41

2 4

83

4

13

87

49

0

10

20

30

40

50

60

70

80

90

SERIE 1 SERIE 2 SERIE 1%

SERIE 2%

CAPACITACION PROFESIONAL

TENÍA ACREDITADANO TENÍANO CONSTA

!

Gráfica 16.- 6BNBA>=BA>J<!ND9TE:>9<B?!E<!BOQB:!:ED>E:2!

!

'9D! ?9! =B<=9!E<!OU:!CE?!l^t!CE! ?9:!AB:9:7!E?!O;C>A9!CE<H<A>BC97! =E<@B!

ABNBA>=BA>J<!NBDB!DEB?>pBD! ?B! ><=EDVE<A>J<!9T=B?O9?JG>AB!AHE:=>9<BCB7!R!:9?BOE<=E!

E<!E?!_t!CE! ?9:!AB:9:!<9!?B!=E<@B2!)9!E<A9<=DBO9:!C>TEDE<A>B!:>G<>T>AB=>VB!E<=DE!

BOQB:!:ED>E:!E:=HC>BCB:2!

Capacitación Profesional * SERIE Crosstabulation

4 6 10

40,0% 60,0% 100,0%

19 41 60

31,7% 68,3% 100,0%

23 47 70

32,9% 67,1% 100,0%

Count% within CapacitaciónProfesionalCount% within CapacitaciónProfesionalCount% within CapacitaciónProfesional

No tiene o no consta

Si tiene

CapacitaciónProfesional

Total


Total

]ZY!


Chi-Square Tests

,270b

1 ,603,024 1 ,876,263 1 ,608

,719 ,427

,266 1 ,606

70

Pearson Chi-Square



Value dfAsymp. Sig.


Exact Sig.(1-sided)



b.

Tabla 18.-!)9!E<A9<=DBO9:!C>TEDE<A>B!E<!AHB<=9!B!?B!ABNBA>=BA>J<!

ND9TE:>9<B?2!

!

9.5.3.- VARIABLES RELACIONADAS CON EL INFORME

PERICIAL:

1.- CALIDAD DEL HISTORIAL CLÍNICO APORTADO:

%<! ?B! Serie 17! ?B! i>:=9D>B! 6?@<>AB! E:! /HR! *HE<B! E<! k! AB:9:! XZYt`7!

#AEN=BQ?E!E<![!X]]t`7!+<BAEN=BQ?E!E<!j!X]jt`7!)9!:E!BN9D=B!E<!_!XYkt`!R!<9!:E!

N>CE!E<!Y!AB:9!X_t`2!

]Z]!


SERIE 1

31%

22%

26%

17%

4%

MUY BUENAACEPTABLEINACEPTABLENO SE APORTANO SE PIDE

!

Gráfica 17.- 6B?>CBC!CE!?B!i>:=9D>B!6?@<>AB!E<!?B!&ED>E!Y2!

SERIE 2

15%

32%

19%

6%

28%

MUY BUENAACEPTABLEINACEPTABLENO SE APORTANO SE PIDE

Gráfica 18.- 6B?>CBC!CE!?B!i>:=9D>B!6?@<>AB!E<!?B!&ED>E!]2!

%<! ?B!Serie 27!A9<:>CEDBO9:! ?B!S>:=9D>B!A?@<>AB!/HR!QHE<B!=BOQ>;<!E<!k!

AB:9:7! PHE! BPH@! :9?BOE<=E! :HN9<E<!H<!Y[t2!%:! BAEN=BQ?E! E<! Y[! AB:9:! XZ]t`2!

]ZZ!


+<BAEN=BQ?E! E<! n! AB:9:! XYnt`2! )9! :E! BN9D=B7! SBQ>;<C9?B! :9?>A>=BC9! E<! Z! AB:9:!

Xjt`! R! <9! :E! :9?>A>=J! E?! S>:=9D>B?! A?@<>A9! N9D! NBD=E! CE?! 8HpGBC9! +<:=DHA=9D! E<! YZ!

CE<H<A>B:7!?9!PHE!:HN9<E!E?!]l!t!CE!?9:!AB:9:2!

69ONBDBO9:! ?9:!CB=9:!CE!BOQB:! :ED>E:! A9<:>CEDB<C9!C9:!N9:>Q>?>CBCE:d!

i>:=9D>B! 6?@<>AB! A9DDEA=B! Xv! S>:=9D>B! OHR! QHE<B! á! S>:=9D>B! BAEN=BQ?E`! R! ?B! 9=DB!

N9:>Q>?>CBC!:ED@B!)9!SBR!9!E:!><BAEN=BQ?E!Xv!S>:=9D>B!><BAEN=BQ?E!á!<9!SBRá!<9!:E!

N>CE`2!%<!?B!&ED>E!Y7!:E!DENBD=E<!BND9b>OBCBOE<=E!B?![^t!?9:!AB:9:7!O>E<=DB:!PHE!

E<!?B!&ED>E!]7!?B!S>:=9D>B!E:!A9DDEA=B!:9?9!E<!E?!_^t!CE!?9:!AB:9:7!O>E<=DB:!PHE!<9!

SBR! 9! E:! ><BAEN=BQ?E! E<! E?! j^t! DE:=B<=E7! BND9b>OBCBOE<=E2! )9! SBR! C>TEDE<A>B!

:>G<>T>AB=>VB2!

Historia correcta * SERIE Crosstabulation

12 22 34

52,2% 38,6% 42,5%11 35 46

47,8% 61,4% 57,5%23 57 80

100,0% 100,0% 100,0%

Count% within SERIE

Count% within SERIE

Count% within SERIE

Historia correcta

No hay o es inaceptable

Historia Clínica

Total


Total

Chi-Square Tests

1,236b 1 ,266,743 1 ,389

1,228 1 ,268,321 ,194

1,221 1 ,269

80

Pearson Chi-Square



Value dfAsymp. Sig.


Exact Sig.(1-sided)



b.

Tabla 19.-!#<U?>:>:!CE!?B!A9DDEAA>J<!CE!?B!i>:=9D>B!6?@<>AB2!

!

]Z_!


2.- DIAGNÓSTICO:

%<!?B!><OE<:B!OBR9D@B!CE!?9:!AB:9:!THE!A9DDEA=9d!Yl!Xklt`!E<!?B!&ED>E!Y!R!

_Y!Xlkt`!E<!?B!&ED>E!]2!iHQ9!EDD9D!C>BG<J:=>A97!NED9!<9!THE!CE=EDO><B<=E!CE!?B!

?E:>J<!E<!]!CE<H<A>B:!Xnt`!CE!?B!&ED>E!Y!R!E<!Y!CE!?B!&ED>E!]!X]t`2!-><B?OE<=E7!

Eb>:=>J! EDD9D! C>BG<J:=>A9! R! THE! CE=EDO><B<=E! CE! ?B! ?E:>J<! ND9CHA>CB! E<! Z! AB:9:!

XYZt`!CE!?B!&ED>E!Y!R!E<![!AB:9:!XYYt`!CE!?B!&ED>E!]2!!!!

!

18

2 3

41

1 5

78

913

87

211

0102030405060708090

SERIE 1 SERIE 2 %SERIE 1

%SERIE 2

DIAGNÓSTICO

CORRECTO

ERROR NODETERMINANTEERROR DETERMINANTE

!

Gráfica 19.- ,>BG<J:=>A9!A9DDEA=9!9!<9!R!:H!><T?HE<A>B!E<!?B!?E:>J<2!

&>!B<B?>pBO9:!E:=9:!CB=9:!VEDEO9:!PHE7!NDUA=>ABOE<=E!E<!E?!l^t!CE!?B:!

CE<H<A>B:! CE! BOQB:! :ED>E:7! <9! Eb>:=>J! EDD9D! C>BG<J:=>A92! )9! E<A9<=DBO9:!

C>TEDE<A>B!:>G<>T>AB=>VB!E<=DE!E??B:2!

Error Diagnóstico * SERIE Crosstabulation

18 41 59

78,3% 87,2% 84,3%5 6 11

21,7% 12,8% 15,7%23 47 70

100,0% 100,0% 100,0%

Count% within SERIE


No Hay

Hay Error

Error Diagnóstico

Total


Total

]Z[!


Chi-Square Tests

,939b 1 ,333,384 1 ,536,901 1 ,342

,485 ,263

,925 1 ,336

70

Pearson Chi-Square



Value dfAsymp. Sig.


Exact Sig.(1-sided)



b.

Tabla 20.-!)9!SBR!EDD9D!C>BG<J:=>A9!E<!E?!l^t!CE!?9:!AB:9:2!

!

3.- PREVISIBILIDAD DE LA COMPLICACIÓN:

%<!H<!AB:9!X_t`!E<!?B!&ED>E!Y!R!E<!_!AB:9:!Xnt`!CE!?B!&ED>E!]7!><=EDN9<E!

H<B!CE<H<A>B7!:><!PHE!Eb>:=B!A9ON?>ABA>J<!B?GH<B2!

!%<!9=D9!AB:9!X_t`!CE!?B!&ED>E!Y7!R!E<!]!X_t`!CE!?B!&ED>E!]!:E!ND9CHAE<!

A9ON?>ABA>9<E:!CE!=>N9!>ONDEV>:>Q?E2!

!%<!?B!OBR9D@B!CE!?B:!9AB:>9<E:7!Y_!AB:9:!E<!?B!&ED>E!Y!R!ZY!E<!?B!&ED>E!]7!

:E! ND9CHAE<! A9ON?>ABA>9<E:! NDEV>:>Q?E:! NED9! ><EV>=BQ?E:2! &HN9<E<!

DE:NEA=>VBOE<=E!E?!j]t!R!E?!jjt2!!

&9?BOE<=E! E<! k! AB:9:! XZ^t`! CE! ?B! &ED>E! Y! R! E<! Y^! AB:9:! X]Yt`! CE! ?B!

&ED>E!]7!:E!ND9CHAE<!A9ON?>ABA>9<E:!CE!=>N9!NDEV>:>Q?E!R!EV>=BQ?E2!%:=E!E:!E?!GDHN9!

OU:!>ON9D=B<=E!CE:CE!E?!NH<=9!CE!V>:=B!CE!?B!DE:N9<:BQ>?>CBC!ND9TE:>9<B?2!iEO9:!

A9ONBDBC9!E:=E!GDHN9!E<!BOQB:!:ED>E:7!:><!E<A9<=DBD!C>TEDE<A>B:!:>G<>T>AB=>VB:2!

]Zj!


Complicaciones Previsibles e Inebitables * SERIE Crosstabulation

16 37 5369,6% 78,7% 75,7%

7 10 17

30,4% 21,3% 24,3%23 47 70

100,0% 100,0% 100,0%


Count% within SERIE

NO Hubo

SI Hubo

ComplicacionesPrevisibles yEvitables

Total


Total

Chi-Square Tests

,704b 1 ,401,294 1 ,587,688 1 ,407

,554 ,290

,694 1 ,405

70

Pearson Chi-Square



Value dfAsymp. Sig.


Exact Sig.(1-sided)



b.

Tabla 21.-!!+<A>CE<A>B!CE!A9ON?>ABA>9<E:!NDEV>:>Q?E:!R!EV>=BQ?E:2!

1 1

147 4 2

31

104 4

62

30

94

66

21

0

10

20

30

40

50

60

70

SERIE 1 SERIE 2 % SERIE1

% SERIE2

PREVISIBILIDAD DE LA COMPLICACIÓN

NO HAYCOMPLICACIÓNC. IMPREVISIBLE

C. PREVISIBLE PEROINEVITABLEC. PREVISIBLE YEVITABLE

!

Gráfica 20.- 'DEV>:>Q>?>CBC!CE!?B:!A9ON?>ABA>9<E:!:HDG>CB:2!

]Zk!


4.- TIPO DE COMPLICACIONES:

%<! ?B! Serie 17! ?B! A9ON?>ABA>J<! OU:! TDEAHE<=E! N9D! ?B! PHE! :E! ><=EDN9<E!

CE<H<A>B!E:! ?B!E<C9T=B?O>=>:2! "B!E<A9<=DBO9:!E<!l!CE! ?B:!]Z!CE<H<A>B:!CE!E:=B!

:ED>E!R!:E!ND9CHAE!E<!_!AB:9:!A9O9!A9ON?>ABA>J<!CE!A>DHG@B!CE!AB=BDB=B:7!E<!H<!

AB:9!=DB:!PHEDB=9=9O@B!DBC>B?7!E<!9=D9!N9D!H<!AHEDN9!Eb=DBh9!><=DB9AH?BD!R!E<!9=D9!

N9D!H<B!a?AEDB!A9D<EB?2!

"B!:EGH<CB!A9ON?>ABA>J<!E<! TDEAHE<A>B!E:!E?!CE:NDE<C>O>E<=9!CE! DE=><B7!

A9<!_!AB:9:2!,9:!CE!E??9:!THED9<!A9ON?>ABA>J<!CE!A>DHG@B!CE!AB=BDB=B:!R!?9:!9=D9:!

C9:! THED9<! ><=EDVE<A>9<E:! CE! CE:NDE<C>O>E<=9! CE! DE=><B! E<! ?B:! PHE! <9! :E!

A9<:>GH>J!H<!QHE<!DE:H?=BC9!T><B?2!iBR!C9:!AB:9:!CE!CE:A9ONE<:BA>J<!E<C9=E?>B?!R!

9=D9:!C9:!CE!<EHD9NB=@B!JN=>AB2!q!T><B?OE<=E!SBR!A9ON?>ABA>9<E:!PHE!:E!CB<!A9<!

E:AB:B!TDEAHE<A>B7!:J?9!H<!AB:9!XAB=BDB=B!=DBHOU=>AB7!B=B?BO>B7!CBh9!E<!H<B!"+(7!

PHEDB=>=>:!N9:=PH>DaDG>AB7!D9=HDB!CE!AUN:H?B!N9:=ED>9D!9!<9!SBR!A9ON?>ABA>J<`2!

SERIE 1

ENDOFTALMITIS; 8; 35%

DESPRENDIMIENTO RETINA; 4; 17%

DESCOMP. ENDOT.; 2; 9%

NEUROPATÍA OPT.; 2; 9%

SOLO 1 CASO; 6; 26%

SIN COMPLICACION; 1; 4%

!

Gráfica 21.- 69ON?>ABA>9<E:!:HDG>CB:!E<!?B!&ED>E!Y!E<!VB?9D!BQ:9?H=9!R!

N9DAE<=HB?2!

!

]Zl!


%<! ?B!&ED>E!]7! =BOQ>;<!E?!GDHN9!OBR9D>=BD>9! :9<! ?B:!E<C9T=B?O>=>:7! A9<!k!

AB:9:7! NED9! ?E! :>GHE<! E<! TDEAHE<A>B! A9<! j! AB:9:! C9:! GDHN9:7! PHE! :9<! ?9:!

CE:NDE<C>O>E<=9:! CE! DE=><B! R! ?B:! A9ON?>ABA>9<E:! CE! ><=EDVE<A>9<E:! CE! O>9N@B!

OEC>B<=E!"#&+y!XBQEDDBA>9<E:7!A9?GBe9! ><A9ON?E=97!CE:AE<=DBO>E<=9:!Q>?B=EDB?E:7!

OB?B!><C>ABA>J<7!N;DC>CB!CE!:HAA>J<7!,"y`2!

%?! :>GH>E<=E! GDHN9! E<! TDEAHE<A>B! A9<! _! AB:9:! :9<! ?9:! DE=DB:9:! E<! E?!

C>BG<J:=>A97! A9<! E?! BGDBVBO>E<=9! A9<:EAH=>V9! CE?! ND9<J:=>A92! "E! :>GHE<! =DE:!

GDHN9:! A9<! ?B! O>:OB! TDEAHE<A>B! XZ! AB:9:! ABCB! H<9`! PHE! :9<d! E?! ?BG9T=B?O9:!

N9:=PH>DaDG>A97! ?B! SEO9DDBG>B! EbNH?:>VB! R! E?! GDHN9! E<! E?! PHE! <9! :E! ND9CHAE!

A9ON?>ABA>J<!B?GH<B2!

-><B?OE<=E7! A9O9! E<! ?B! &ED>E! Y7! SBR! H<! GDHN9! O><9D>=BD>9! E<! E?! PHE!

><A?H>O9:! ?B:! A9ON?>ABA>9<E:! PHE! :J?9! SB<! 9AHDD>C9! E<! H<! AB:97! A9O9! AB=BDB=B!

=DBHOU=>AB7!CE:A9ONE<:BA>J<!E<C9=E?>B?7!<EHD9NB=@B!JN=>AB7!D9=HDB:!CE!?B!AUN:H?B!

N9:=ED>9D7! K$'7! DEA>C>VB! CE! H<B! Eb9=D9N>B7! DEASBp9! CE?! ><eED=9! E<! H<B!

PHEDB=9N?B:=>B7!N=9:>:!CE!Z!OO7!ABH:=>ABA>J<!A9D<EB?!N9D!NEGBOE<=9!Q>9?JG>A9!R!

H<!G?BHA9OB!OB?>G<92!!

!

!

!

!

!

]Zn!


SERIE 2

ENDOFTALMITIS; 7; 15%

COMPLIC. LASIK; 7; 15%

DESPREN. RETINA; 6; 13%

RETRASO EN EL DX; 4; 9%

LAGOFTALMOS; 3; 6%

H. EXPULSIVA; 3; 6%

NO HAY COMPLIC.; 3; 6%

SOLO 1 CASO; 14; 30%

!

!

Gráfica 22.- 69ON?>ABA>9<E:!:HDG>CB:!E<!?B!&ED>E!]!E<!VB?9D!BQ:9?H=9!R!

N9DAE<=HB?2!

69ONBDB<C9! ?B! ><A>CE<A>B! CE?! GDHN9! OBR9D>=BD>97! ?B:! endoftalmitis! E<!

BOQB:! :ED>E:7! E<A9<=DBO9:! PHE! SB! CE:AE<C>C9! :H! ><A>CE<A>B! CE! H<! Z[t! E<! ?B!

:ED>E!Y!B!H<!Y[t!E<!?B!:ED>E!]2!%:=B!C>TEDE<A>B!<9!E:!:>G<>T>AB=>VB2!

Endoftalmitis * SERIE Crosstabulation

8 7 15

34,8% 14,9% 21,4%15 40 55

65,2% 85,1% 78,6%23 47 70

100,0% 100,0% 100,0%

Count% within SERIE


Endoftalmitis

No endoftalmitis

Endoftalmitis

Total


Total

]_^!


Chi-Square Tests

3,628b 1 ,0572,543 1 ,1113,460 1 ,063

,070 ,058

3,576 1 ,059

70

Pearson Chi-Square



Value dfAsymp. Sig.


Exact Sig.(1-sided)



b.

Tabla 22.- #<U?>:>:!CE!?B!><A>CE<A>B!CE!E<C9T=B?O>=>:2!!!

#<B?>pB<C9!?B!><A>CE<A>B!CE!?B:!CEOB<CB:!><=EDNHE:=B:!N9D!><=EDVE<A>9<E:!

CE!cirugía refractiva7!VEO9:!PHE!SB<!:>C9!]!AB:9:!XH<! >ON?B<=E!CE!H<B!"E<=E!

CE!*B>A9TT!E<!H<!O>9NE!OBG<9!R!H<B!PHEDB=9=9O@B!DBC>B?`2!%<! ?B!:ED>E!]!SEO9:!

E<A9<=DBC9! n! CE<H<A>B:! N9D! ><=EDVE<A>9<E:! CE! A>DHG@B! DETDBA=>VBd! k! AB:9:! CE!

A9ON?>ABA>9<E:!E<!"#&+y7!Y!AB:9:!CE!A>DHG@B!CE!AD>:=B?><9!=DB<:NBDE<=E!R!Y!AB:9!CE!

>ON?B<=E!:EAH<CBD>9!CE!"+(2!#H<PHE!?B:!CEOB<CB:!N9D!E:=E!=>N9!CE!><=EDVE<A>9<E:!

SB<!CHN?>ABC9!:H!><A>CE<A>B!E<!E:=9:!Y^!Bh9:7!NB:B<C9!CE?!l7kt!B?!Yn7Yt7!E:=E!

><ADEOE<=9!<9!=>E<E!:>G<>T>ABA>J<!E:=BC@:=>AB2!

Cirugía Refractiva * SERIE Crosstabulation

2 9 11

8,7% 19,1% 15,7%21 38 59

91,3% 80,9% 84,3%23 47 70

100,0% 100,0% 100,0%

Count% within SERIE


Q refractiva

No Q refractiva

Cirugía Refractiva

Total


Total

]_Y!


Chi-Square Tests

1,274b 1 ,259,607 1 ,436

1,389 1 ,239,318 ,222

1,256 1 ,262

70

Pearson Chi-Square



Value dfAsymp. Sig.


Exact Sig.(1-sided)



b.

Tabla 23.- #<U?>:>:!CE!?B:!CE<H<A>B:!N9D!6>DHG@B!$ETDBA=>VB2!

!

5.- TIPO DE RESPONSABILIDAD EXIGIDA:

%<!?B!Serie 17!E<!=9C9:!?9:!AB:9:!:E!Eb>GE!DE:N9<:BQ>?>CBC!NE<B?!CE!=>N9!

AH?N9:92!

%<!?B!Serie 27!E<!__!AB:9:!Xn_t`!:E!Eb>GE!=BOQ>;<!DE:N9<:BQ>?>CBC!NE<B?!

AH?N9:B7!NED9!SBR!H<!AB:9!X]t`!E<!E?!PHE!:E!CEOB<CB!N9D!DE:N9<:BQ>?>CBC!NE<B?!

CE!=>N9!C9?9:9!R!C9:!DEA?BOBA>9<E:!X_t`!E<!K@B!69<=E<A>9:9\#CO><>:=DB=>VB2!%:=B!

C>TEDE<A>B!<9!E:!:>G<>T>AB=>VB2!

%<!<><GH<B!CE!?B:!C9:!:ED>E:!E:=HC>BCB:!SBR!CEOB<CB:!N9D!?B!K@B!6>V>?2!%:!

CEQ>C9! B! PHE! ?B! 6?@<>AB! /;C>A9! -9DE<:E! CE! /BCD>C! EO>=E! ><T9DOE:! NED>A>B?E:!

:9?>A>=BC9:!AB:>!EbA?H:>VBOE<=E!N9D!8HpGBC9:!R!.D>QH<B?E:!CE!?B!8HD>:C>AA>J<!'E<B?2!

]_]!


23

0 0 0

44

1 0 2

100

0 0 0

94

2 0 40

102030405060708090

100

SERIE 1 SERIE 2 %SERIE 1

%SERIE 2

TIPO DE RESPONSABILIDAD

PENAL CULPOSAPENAL DOLOSACIVILCONTENC ADMINIST.

!

Gráfica 23.- .>N9!CE!DE:N9<:BQ>?>CBC!Eb>G>CB2!

Resp. Penal * Series Crosstabulation

23 44 67100,0% 93,6% 95,7%

3 36,4% 4,3%

23 47 70100,0% 100,0% 100,0%

Count% within SeriesCount% within SeriesCount% within Series

resposabilidad penal

resp. civil o contenc.

Resp.Penal

Total

Serie 1 Serie 2Series

Total

Chi-Square Tests

1,534b 1 ,216,372 1 ,542

2,455 1 ,117,546 ,296

1,512 1 ,219

70

Pearson Chi-Square



Value dfAsymp. Sig.


Exact Sig.(1-sided)


2 cells (50,0%) have expected count less than 5. The minimum expected count is,99.

b.

Tabla 24.- #<U?>:>:!CE?!=>N9!CE!DE:N9<:BQ>?>CBC!Eb>G>CB2

!

]_Z!


6.- LESIÓN PRODUCIDA:

%<!?B!Serie 17!SBR!Z!AB:9:!XYZt`!E<!?9:!PHE!:E!N?B<=EB!?B!CE<H<A>B!:><!

PHE! Eb>:=B! ?E:>J<7! E?! DE:=9d! ]^! AB:9:! Xlkt`2! )9! SBR! <><Ga<! AB:9! E<! E?! PHE! :E!

ND9CHpAB!H<B!?E:>J<!DEVED:>Q?E2!

%<!?B!Serie 27!SBR!:9?9!]!AB:9:!X_t`!E<!?9:!PHE!<9!SBR!?E:>J<7!Zk!AB:9:!

Xknt`! E<! ?9:! PHE! :E! ND9CHAE! H<B! ?E:>J<! >DDEVED:>Q?E! R! l! XYkt`! E<! ?9:! PHE! :E!

ND9CHAE!H<B!?E:>J<!DEVED:>Q?E7!E:!CEA>D7!<9!SBR!:EAHE?B2!

"?BOB!?B!B=E<A>J<!PHE!E<!H<!N9DAE<=BeE!>ON9D=B<=E!CE!AB:9:!XYZt!E<!?B!

:ED>E! Y! R! ]Y!t!E<! ?B! :ED>E! ]`! :E! N?B<=EB<! CE<H<A>B:! N9D! DE:N9<:BQ>?>CBC! NE<B?!

C9?9:B7! :><! PHE! Eb>:=B<! :EAHE?B:2! 69O9! V>O9:7! <9! :E! VB! B! A9<ADE=BD! ?B!

DE:N9<:BQ>?>CBC!NE<B?!C9?9:B7!:>!<9!Eb>:=E!?E:>J<2!

Lesión producida * SERIE Crosstabulation

20 37 5787,0% 78,7% 81,4%

3 10 13

13,0% 21,3% 18,6%

23 47 70100,0% 100,0% 100,0%


Count% within SERIE

Hay Secuela

No hay lesióno es reversible

Lesión producida

Total


Total

Chi-Square Tests

,692b 1 ,405,255 1 ,614,727 1 ,394

,523 ,314

,682 1 ,409

70

Pearson Chi-Square



Value dfAsymp. Sig.


Exact Sig.(1-sided)



b.

Tabla 25.- %<!H<!N9DAE<=BeE!>ON9D=B<=E!<9!SBR!:EAHE?B:2!

!

]__!


3

20

0 2

37

813

87

04

79

17

0

10

20

30

40

50

60

70

80

90

TIPO DE LESIÓN PRODUCIDA

NO HAYSECUELALESIÓN REVERSIBLE

!

Gráfica 24.- "E:>J<!ND9CHA>CB2!

!

7.- SECUELA PRODUCIDA:

%<!?B!Serie 17!:E!ND9CHAE!E<HA?EBA>J<!XN;DC>CB!B<B=JO>AB!CE?!9e9`!E<![!

AB:9:! XH<!]]!t`7!N=>:>:!QH?Q>! XB=D9T>B!9AH?BD`!E<!_!AB:9:! XH<!Ykt`!R!BOBHD9:>:!

XN;DC>CB! TH<A>9<B?`! E<! [! AB:9:! XH<! ]]! t`2! %:! CEA>D7! PHE! :E! ND9CHAE! N;DC>CB!

B<B=JO>AB!9!TH<A>9<B?!CE?!9e9!E<!Y_!CE!?B:!]Z!CE<H<A>B:7!E:!CEA>D!E<!H<!jYt!CE!

?9:!AB:9:2!%<!]!AB:9:! Xnt`!SBR!BTBPH>B!9!N:EHC9TUPH>B7!E<!Z!AB:9:! XYZt`!SBR!

C>:O><HA>J<!CE! ?B!BGHCEpB!V>:HB?7!E<!Y!AB:9!X_t`!SBR!C>:O><HA>J<!CE!?B!AB?>CBC!

CE! ?B!V>:>J<!R!SBR!Z!AB:9:!XYZt`!E<! ?9:!PHE!:E!CE<H<A>B!:><!PHE!Eb>:=B!:EAHE?B!

B?GH<B2!)9!SBR!AB:9:!E<!?9:!PHE!:E!ND9CHpAB<!O9?E:=>B:!ADJ<>AB:!N9D!?BG9T=B?O9:!

9!,E??E<7!A9O9!VEDEO9:!PHE!9AHDDE<!E<!?B!&ED>E!]2!

!

]_[!


SECUELAS EN LA SERIE 1

%)56"%#6+0)w![w!]]t

'.+&+&!*5"*+w!_w!Ykt

#/#5$(&+&w![w!]]t

'&%5,(!(!#-#r5+#w!]w!nt

,+&/+)56+0)!#Kw!Zw!YZt

Ñ!6#"+,#,!K+&5#"w!Yw!_t

"#1(-.#"/(&w!^w!^t

,%""%)!w!^w!^t

)(!i#q!&%65%"#w!Zw!YZt

!

!

Gráfica 25.- &EAHE?B:!E<!?B!&ED>E!Y2!

!

%<! ?B!Serie 27!:E!ND9CHAE!E<HA?EBA>J<!XN;DC>CB!B<B=JO>AB!CE?!9e9`!E<!]!

AB:9:! XH<! _!t`7! N=>:>:! QH?Q>! XB=D9T>B! 9AH?BD`! E<! Z! AB:9:! XH<! jt`! R! BOBHD9:>:!

XN;DC>CB! TH<A>9<B?`! E<! Yj! AB:9:! XH<! Z[!t`2! %:! CEA>D7! PHE! :E! ND9CHAE! N;DC>CB!

B<B=JO>AB!9!TH<A>9<B?!CE?!9e9!E<!]Y!CE!?B:!_k!CE<H<A>B:7!E:!CEA>D!E<!H<!_[t!CE!

?9:!AB:9:2!%<!]!AB:9:! X_t`!SBR!BTBPH>B!9!N:EHC9TUPH>B7!E<!l!AB:9:! XYkt`!SBR!

C>:O><HA>J<!CE!?B!BGHCEpB!V>:HB?7!E<!_!AB:9:!Xnt`!SBR!C>:O><HA>J<!CE!?B!AB?>CBC!

CE! ?B!V>:>J<!R!SBR!n!AB:9:!XYZt`!E<! ?9:!PHE!:E!CE<H<A>B!:><!PHE!Eb>:=B!:EAHE?B!

B?GH<B2! iBR! VBD>9:! AB:9:! E<! ?9:! PHE! ?B! ?E:>J<! N9D! ?B! PHE! :E! CE<H<A>B! :HN9<E!

O9?E:=>B:! CE! =>N9! ADJ<>A9d! ]! AB:9:! CE! ?BG9T=B?O9:! XH<! _t`! R! H<! AB:9! CE! H<!

,E??E<7!PHE!:HN9<E!H<!]t!CE?!=9=B?2!

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LESIONES EN LA SERIE 2

%)56"%#6+0)w!]w!_t

'.+&+&!*5"*+w!Zw!jt

#/#5$(&+&w!Yjw!Z[t

'&%5,(!(!#-#r5+#w!]w!

_t

,+&/+)56+0)!#Kw!lw!Ykt

Ñ!6#"+,#,!K+&5#"w!_w!nt

"#1(-.#"/(&w!]w!_t

,%""%)!w!Yw!]t

)(!i#q!&%65%"#w!nw!Ynt

!

Gráfica 26.- &EAHE?B:!E<!?B!&ED>E!]2!

#<B?>pB<C9! ?B:! :EAHE?B:7! VEO9:! PHE! ?B:! CEOB<CB:! E<! ?B:! PHE! ?B:!

A9ON?>ABA>9<E:!:HDG>CB:!9Q?>GB<!B!E<HA?EBD!E?!9e97!SB<!C>:O><H>C9!CE?!]]t!E<!?B!

&ED>E! Y7! B! :9?9! E?! _t! E<! ?B! &ED>E! ]7! R! E:=B! C>TEDE<A>B! es estadísticamente

significativa.

Enucleación * SERIES Crosstabulation

5 2 7

21,7% 4,3% 10,0%18 45 63

78,3% 95,7% 90,0%23 47 70

100,0% 100,0% 100,0%

Count% within SERIES

Count% within SERIESCount% within SERIES

Enucleación

No enucleación

Enucleación

Total

serie 1 serie 2SERIES

Total

]_k!


Chi-Square Tests

5,245b 1 ,0223,482 1 ,0624,885 1 ,027

,035 ,035

5,170 1 ,023

70

Pearson Chi-Square



Value dfAsymp. Sig.


Exact Sig.(1-sided)



b.

Tabla 24.- iBR!C>TEDE<A>B!:>G<>T>AB=>VB!E<!?B!DECHAA>J<!CE?!<aOED9!CE!CE<H<A>B:!

E<!?B:!PHE!:E!DEB?>pB!E<HA?EBA>9<2!

&>! A9ONBDBO9:! ?9:! Y_! AB:9:! XjYt`! E<! ?9:! PHE! :E! ND9CHAE! ?B! N;DC>CB!

TH<A>9<B?!CE?!9e9!E<!?B!&ED>E!Y7!A9<!?9:!]Y!AB:9:!X_[t`!E<!?9:!PHE!:E!ND9CHAE!E:=B!

N;DC>CB! TH<A>9<B?! E<! ?B! &ED>E! ]7! VEDEO9:! PHE! <9! Eb>:=E! C>TEDE<A>B! :>G<>T>AB=>VB!

E<=DE!BOQB:!:ED>E:2!'ED9!E:! >ON9D=B<=E!DE:B?=BD!PHE!:E!ND9CHAE!E:=B! >ON9D=B<=E!

:EAHE?B!E<!?B!O>=BC!CE!?B:!CE<H<A>B:!BND9b>OBCBOE<=E!XE<=DE!E?!_[!R!E?!j^t`2!

Pérdida anatómica o funcional visual * SERIE Crosstabulation

14 21 35

60,9% 44,7% 50,0%9 26 35

39,1% 55,3% 50,0%23 47 70

100,0% 100,0% 100,0%

Count% within SERIE


Se produce

no se produce

Pérdida anatómicao funcional visual

Total


Total

]_l!


Chi-Square Tests

1,619b 1 ,2031,036 1 ,3091,629 1 ,202

,309 ,154

1,596 1 ,207

70

Pearson Chi-Square



Value dfAsymp. Sig.


Exact Sig.(1-sided)



b.

Tabla 27.-!#<U?>:>:!CE!?B!><A>CE<A>B!CE!CE<H<A>B:!E<!?B:!PHE!:E!ND9CHAE!

N;DC>CB!B<B=JO>AB!9!TH<A>9<B?!V>:HB?2!

!

8.- EXISTENCIA DE MALA PRAXIS:

%?!><T9DOE!NED>A>B?!A9<A?HRJ!PHE!SBQ@B!Eb>:=>C9!LOB?B!NDBb>:W!E<!:9?9!_!CE!

?B:!]Z!CE<H<A>B:!CE!?B!&ED>E!Y2!%<!?B!&ED>E!]7!:E!E<A9<=DJ!LOB?B!NDBb>:W!E<!l!CE!

?B:! _k! CE<H<A>B:7! N9D! ?9! PHE! ambas series coinciden en encontrar “mala

praxis” en el 17% de los casos y no encontrarla en el 83% de ellos.

4

19

8

39

17

83

17

83

0102030405060708090

SERIE 1 SERIE 2 % SERIE 1 % SERIE 2

EXISTENCIA DE MALA PRAXIS

SINO

!

Gráfica 27.- %b>:=E<A>B!9!<9!CE!OB?B!NDBb>:2!

]_n!


9.- MOTIVO DE LA MALA PRAXIS:

%<! ?B!Serie 17! E?!O9=>V9!CE! A9<:>CEDBD! PHE!Eb>:=>J!OB?B! NDBb>:7! E<! =DE:!

AB:9:! THE! >ONED>A>B! OB<>T>E:=B! XDEB?>pBD! Oa?=>N?E:! OBAD9NEDT9DBA>9<E:! E<! H<B!

PHEDB=9=9O@B!DBC>B?7!Oa?=>N?E:!R!GDBVE:!A9ON?>ABA>9<E:!B?!>ON?B<=BD!H<B:!"+(&7!<9!

PH>=BD!?B!BGHeB!CE!?B!eED><GB!NBDB!Eb=DBED!H<!AHEDN9!Eb=DBh9!A9D<EB?`!R!E<!H<!AB:9!

E?!O9=>V9!THE!H<B!<EG?>GE<A>B!X<9!=9OBD!?B!'+(`2!)9!SBR!AB:9:!CE!>ONDHCE<A>B2!

%<!?B!Serie 27!:9?BOE<=E!SBR!H<!AB:9!CE!>ONED>A>B!N9D!Eb=DBAA>J<!CE!H<!

AHEDN9!Eb=DBh9!A9D<EB?! :><!PH>=BD! ?B!BGHeB7!SBR!AHB=D9!AB:9:!CE!<EG?>GE<A>B! XE<!

C9:!CE!E??9:!N9D!<9!DEB?>pBD!H<B!A9DDEA=B!EbN?9DBA>J<!CE?!T9<C9!CE!9e97!E<!H<9!N9D!

>ON?B<=BD!H<B!"+(!CE!AUOBDB!B<=ED>9D!:><!SBAED!>D>CEA=9O@B!R!E<!9=D9!N9D!<9!=DB=BD!

H<! CETEA=9! DE:>CHB?! >ON9D=B<=E! A9<:EAH=>V9! B! "#&+y`2! iBR! =DE:! AB:9:! CE!

>ONDHCE<A>B! C9:! CE! E??9:! N9D! ><=EDVE<>D! :><! E:=BD! ><C>ABC9! R! 9=D9! N9D! ><=EDVE<>D!

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Eb=DBAA>J<!CE!AD>:=B?><9!=DB<:NBDE<=E`2!!

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Gráfica 28.- /9=>V9!CE!?B!OB?B!NDBb>:2!

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iBR!PHE!CE:=BABD!PHE!E<!?B!&ED>E!Y7!E:!CEA>D7!SBAE!Y^!Bh9:7!?B!OBR9D@B!CE!

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PHE!E<!?B!&ED>E!]7!E<!?B!BA=HB?>CBC7!:E!ND9CHAE<!N9D!BA=HBA>9<E:!<EG?>GE<=E:2!'ED9!

E:=B:!C>TEDE<A>B:!E<A9<=DBCB:!ABDEAE<!CE!VB?>CEp!E:=BC@:=>AB2!

Motivo de la Mala Praxis * Serie Crosstabulation

3 1 475,0% 12,5% 33,3%

1 4 525,0% 50,0% 41,7%

3 337,5% 25,0%

4 8 12100,0% 100,0% 100,0%

Count% within SerieCount% within SerieCount% within SerieCount% within Serie

Impericia

Negligencia

Imprudencia

Motivo de laMala Praxis

Total

Serie 1 serie 2Serie

Total

Chi-Square Tests

5,025a 2 ,0815,774 2 ,056

4,241 1 ,039

12

Pearson Chi-Square


Value dfAsymp. Sig.

(2-sided)


a.

Tabla 28.-!#<U?>:>:!CE?!O9=>V9!CE!?B!BA=HBA>J<!><A9DDEA=B2!

!

!

10.- RELACIÓN DE CAUSALIDAD (actuación incorrecta/lesión):

%<!=9C9:!?9:!AB:9:!E<!?9:!PHE!:E!A9<:>CEDJ!PHE!Eb>:=@B!OB?B!NDBb>:7!SBQ@B!

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ND9CHA>CB7! E<! BOQB:! :ED>E:2! )9! SBR! <><Ga<! AB:9! E<! ?9:! PHE! <9! :E! V>EDB! E:=B!

DE?BA>J<!CE!ABH:B?>CBC2!

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11.- CONCLUSIÓN DEL INFORME PERICIAL:

%<!?B!&ED>E!Y7 :E!A9<A?HRJ!PHE!?B!BA=HBA>J<!ND9TE:>9<B?!SBQ@B!:>C9!A9DDEA=B!

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PHE! ?B! BA=HBA>J<! SBQ@B! :>C9! ><A9DDEA=B! E<! _! AB:9:! XYkt`2! %<! <><Ga<! AB:9! :E!

A9<A?HRJ!PHE!?B!BA=HBA>J<!<9!THE!><A9DDEA=B7!NED9!:@!?B!><T9DOBA>J<!CBCB2!

%<!?B!&ED>E!]7!?B!A9<A?H:>J<!CE?!><T9DOE!THE!PHE!?B!BA=HBA>J<!EDB!A9DDEA=B!

E<!l!AB:9:!XYkt`7!PHE!<9!SBQ@B!EV>CE<A>B!CE!><A9DDEAA>J<!E<!]k!AB:9:!X[kt`2!"B!

BA=HBA>J<!THE!><A9DDEA=B!E<!l!AB:9:!Xnt`!R!E<!_!CE<H<A>B:!XYkt`7!BH<PHE!<9!:E!

E<A9<=DJ!BA=HBA>J<!><A9DDEA=B7!:@!?9!THE!?B!><T9DOBA>J<2!&>!B<B?>pBO9:!?9:!AB:9:!E<!

?9:!PHE! ?B!A9<A?H:>J<!CE?! ><T9DOE!NED>A>B?!SB!:>C9!PHE! ?B!A9<CHA=B!THE! ><A9DDEA=B!

E<! BOQB:! :ED>E:7! VEO9:! PHE! E<! ?B:! C9:! THE! E<! E?! Ykt! CE! ?B:! CE<H<A>B:2! iBR!

A9><A>CE<A>B2!

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Gráfica 29.- 69<A?H:>J<!CE?!><T9DOE!NED>A>B?2!

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#<B?>pBO9:! E:=9:! DE:H?=BC9:! A9ONBDB<C9! BPHE??9:! AB:9:! E<! ?9:! PHE! E?!

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A9<!BPHE??9:!E<! ?9:!PHE!THE!CE:TBV9DBQ?E!XBA=HBA>9<E:!L><A9DDEA=B:W!9!LA9<!OB?B!

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iBQ>=HB?OE<=E7! :E! :9?>A>=B! PHE! ?B! NDHEQB! NED>A>B?! :E! ND9<H<A>E! :9QDE! :>!

Eb>:=>J! 9! <9! LOB?B! NDBb>:W! R! E:=B! ><A?HRE! ?B! ><T9DOBA>J<! B?! NBA>E<=E7! N9D! ?9! PHE!

A9<:>CEDBO9:! A9O9! ><T9DOE! CE:TBV9DBQ?E! B?! 9T=B?OJ?9G9! BPHE??9:! AB:9:! E<! ?9:!

PHE!?B!><T9DOBA>J<!<9!THE!A9DDEA=B7!BH<PHE!?B!BA=HBA>J<!!?9!THEDB2!

KEO9:!PHE!E?!><T9DOE!THE!TBV9DBQ?E!E<!E?!lZt!CE!?9:!AB:9:!E<!?B!&ED>E!Y!

R!E<!E?!k[t!CE!?B!&ED>E!]7!:><!PHE!Eb>:=B!C>TEDE<A>B!:>G<>T>AB=>VB2!

Informe pericial * serie Crosstabulation

19 35 5482,6% 74,5% 77,1%

4 12 16

17,4% 25,5% 22,9%

23 47 70100,0% 100,0% 100,0%

Count% within serieCount% within serie

Count% within serie

favorable aloftalmólogodesfavorable aloftalmólogo

Informepericial

Total

serie 1 serie 2serie

Total

Chi-Square Tests

,580b 1 ,446,211 1 ,646,601 1 ,438

,553 ,329

,572 1 ,449

70

Pearson Chi-Square



Value dfAsymp. Sig.


Exact Sig.(1-sided)



b.

Tabla 27.-!+<T9DOE!NED>A>B?!TBV9DBQ?E!9!<97!B?!9T=B?OJ?9G92!

!

][Z!


12.- RESOLUCIÓN JUDICIAL:

%<! ?B!Serie 1! ?B!OBR9D@B!CE! ?9:!B:H<=9:7!E?! klt7! :E!BDAS>VBD9<d!Y^! XE?!

_Zt`!B:H<=9:!=9OB<C9!NDEV>BOE<=E!CEA?BDBA>J<!B?!9T=B?OJ?9G9!>ONH=BC97!R!l!XE?!

Z[t`!:E!ND9AEC>J!B?!BDAS>V97!:><!=9OBD?E!CEA?BDBA>J<2!&9?9!Z!B:H<=9:7!E:!CEA>D7!E?!

YZt!??EGBD9<!B!eH>A>92!,E!E??9:!E<!C9:!AB:9:!:E!C>A=J!:E<=E<A>B!BQ:9?H=9D>B!R!:9?9!

H<97!E?!_t7!T><B?>pJ!A9<!A9<CE<B2!"B!A9<CE<B!THE!N9D!TB?=B7!N9D!?9!PHE!:E!?>O>=J!B!

H<B!OH?=B2!

%<! C9:! AB:9:! Xnt`! <9! :E! ??EGJ! B! AE?EQDBD! E?! eH>A>9! 9DB?7! N9DPHE! E?!

9T=B?OJ?9G9!>ONH=BC9!CE:BNBDEA>J!CE?!'B@:2!-HE!CEA?BDBC9!E<!DEQE?C@B!R!<9!:E!?E!

E<A9<=DJ!SB:=B!PHE!=DB<:AHDD>C9!E?!=>EON9!CE!NDE:AD>NA>J<!CE?!CE?>=97!E?!B:H<=9!:E!

BDAS>VJ2!

)9!Eb>:=E<!B:H<=9:!NE<C>E<=E:!CE!DE:9?HA>J<2!%:!?JG>A97!RB!PHE!:9<!AB:9:!

CE!SBAE!OU:!CE!Y^!Bh9:2!

!

Resolución Judicial Serie 1

2; 9%

10; 43%8; 35%

2; 9%

1; 4% 0; 0% Arch por prescripción

Arch tras declaración

Arch sin declarar

Sentencia Absolutoria

Sentencia Condenatoria

Pendientes deresolución

!

Gráfica 30.- $E:9?HA>J<!8HC>A>B?!E<!?B!&ED>E!Y2!

][_!


+GHB?OE<=E! E<! ?B!Serie 27! ?B!OBR9D@B! CE! ?B:! CE<H<A>B:7! E?! lZt! CE! ?9:!

AB:9:!:E!BDAS>VB<2!%<!]_!AB:9:!X[Yt`!:E!BDAS>VB<!CE:NH;:!CE!=9OBD!CEA?BDBA>J<!

B?!9T=B?OJ?9G9!A9O9!>ONH=BC9!R!E<!Y[!AB:9:!XZ]t`!:E!CEADE=B!E?!BDAS>V97!:><!PHE!

CEA?BDE<2!

&E!SB!AE?EQDBC9!eH>A>9!9!E:=U!NE<C>E<=E!CE!AE?EQDBD:E!E<!:>E=E!CE<H<A>B:7!

E:!CEA>D7!E<!E?!Y[t!CE!?9:!AB:9:2!&E!SB<!AE?EQDBC9!C9:!eH>A>9:!X_t`7!E<!?9:!PHE!?B!

:E<=E<A>B!SB! :>C9!BQ:9?H=9D>B7! R!<9! ??EGJ!B! AE?EQDBD:E! eH>A>9!9DB?! E<!H<B! =EDAEDB!

CE<H<A>B!N9DPHE!:E!??EGJ!B!H<B!A9<T9DO>CBC!E<!E?!O>:O9!O9OE<=9!E<!E?!PHE!:E!

>QB!B!AE?EQDBD7!C>A=U<C9:E!:E<=E<A>B!A9<CE<B=9D>B!N9D!TB?=B!X]t`2 iBR!PHE!=E<ED!

E<! AHE<=B! PHE! E:! ND9QBQ?E! PHE! B?GH<B! CE! ?B:! AHB=D9! CE<H<A>B:! PHE! :>GHE<!

NE<C>E<=E:!CE!AE?EQDBA>J<!Xnt`!=EDO><E!A9<!:E<=E<A>B!A9<CE<B=9D>B2!

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NE<B?!THE!BDAS>VBC92!

RESOLUCIÓN JUDICIAL SERIE 2

24; 51%

15; 32%

1; 2%

2; 4%

1; 2%

4; 9% ArchdeclarandoArch sindeclararArchivo porfallecimientoAbsoluciones

Condenas

Pendientes

!

Gráfica 31.- $E:9?HA>J<!8HC>A>B?!E<!?B!&ED>E!]2!

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24

15

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4

0 5 10 15 20 25 30

Arch declarando

Arch sin declarar

Otros archivos

Absoluciones

Condenas

Pendientes

Gráfica 32.- $E:9?HA>9<E:!8HC>A>B?E:!E<!BOQB:!:ED>E:2!

!

#<B?>pBO9:!E?!<aOED9!CE!B:H<=9:!PHE!:E!BDAS>VBQB<!R!?9:!PHE!??EGBQB<!9!

E:=BQB<! NE<C>E<=E:! CE! 8H>A>9! (DB?7! E<! BOQB:! :ED>E:7! <9! E<A9<=DB<C9! C>TEDE<A>B!

:>G<>T>AB=>VB!E<=DE!BOQB:!:ED>E:2!

Casos Archivados * serie Crosstabulation

20 40 6087,0% 85,1% 85,7%

3 7 10

13,0% 14,9% 14,3%

23 47 70100,0% 100,0% 100,0%

Count% within serieCount% within serie

Count% within serie

Casos Archivados

Llegan o estánpendientes de Juicio

CasosArchivados

Total

serie 1 serie 2serie

Total

][j!


Chi-Square Tests

,043b 1 ,835,000 1 1,000,044 1 ,834

1,000 ,573

,043 1 ,837

70

Pearson Chi-Square



Value dfAsymp. Sig.


Exact Sig.(1-sided)



b.

Tabla 30.-!)9!SBR!C>TEDE<A>B!E<!E?!<aOED9!CE!B:H<=9:!PHE!:E!BDAS>VB<!R!

PHE!??EGB<!9!E:=U<!NE<C>E<=E:!CE!8H>A>9!E<!BOQB:!:ED>E:2!

69ONBDBO9:!E?!<aOED9!CE!B:H<=9:!PHE!:E!BDAS>VB<!=DB:!?B!CEA?BDBA>J<!CE?!

9T=B?OJ?9G97!E<!BOQB:!:ED>E:!<9!E<A9<=DB<C9!C>TEDE<A>B!:>G<>T>AB=>VBd!

Casos que se archivan tras declaración * SERIE Crosstabulation

10 24 3443,5% 51,1% 48,6%

13 23 3656,5% 48,9% 51,4%

23 47 70100,0% 100,0% 100,0%

Count% within SERIECount% within SERIECount% within SERIE

Caso

No Caso

Casos que se archivantras declaración

Total


Total

Chi-Square Tests

,356b 1 ,551,117 1 ,732,357 1 ,550

,616 ,367

,351 1 ,554

70

Pearson Chi-SquareContinuity Correctiona


Value dfAsymp. Sig.


Exact Sig.(1-sided)



b.

Tabla 31.-!)9!SBR!C>TEDE<A>B!E<!AHB<=9!B!?B!=9OB!CE!CEA?BDBA>J<2!

][k!


.BON9A9! E<A9<=DBO9:! C>TEDE<A>B! :>G<>T>AB=>VB! A9ONBDB<C9! E<! BOQB:!

:ED>E:! E?! <aOED9! CE! CE<H<A>B:! PHE! :E! BDAS>VB<! :><! =9OBD! CEA?BDBA>J<! B?!

9T=B?OJ?9G92!

Casos archivados sin declarar * series Crosstabulation

8 15 2334,8% 31,9% 32,9%

15 32 4765,2% 68,1% 67,1%

23 47 70100,0% 100,0% 100,0%

Count% within seriesCount% within seriesCount% within series

caso

no caso

Casos archivadossin declarar

Total

serie 1 serie 2series

Total

Chi-Square Tests

,058b 1 ,810,000 1 1,000,057 1 ,811

1,000 ,508

,057 1 ,812

70

Pearson Chi-Square



Value dfAsymp. Sig.


Exact Sig.(1-sided)



b.

Tabla 32.-!)9!SBR!C>TEDE<A>B!E<!AHB<=9!B?!<aOED9!CE!BDAS>V9:!:><!

CEA?BDBD2!

13.- CONDENA:

%<!?B!&ED>E!Y!:E!ND9CHAE!A9<CE<B!E<!H<!:9?9!AB:97!R!?B!A9<CE<B!<9!E:!N9D!

CE?>=97!:><9!N9D!TB?=B2!

%<! ?B! &ED>E! ]7! =BOQ>;<! SBR! :9?9! H<! AB:9! CE! :E<=E<A>B! A9<CE<B=9D>B! N9D!

TB?=B7!BH<PHE!SBR!_!B:H<=9:!NE<C>E<=E:!CE!AE?EQDBA>J<!CE!eH>A>9!9DB?!R!E<!=DE:!CE!

E??9:!E?!><T9DOE!NED>A>B?!><C>AB!PHE!SBR!OB?B!NDBb>:2!

!

][l!


14.- TIPO DE CONDENA:

%<!E?!a<>A9!AB:9!E<!E?!PHE!SHQ9!A9<CE<B!E<!?B!:ED>E!Y!THE!CE!OH?=B2!%<!?B!

&ED>E! ]7! =BOQ>;<! ?B! a<>AB! A9<CE<B! ?9! SB! :>C9! N9D! TB?=B2! '9D! ?9! =B<=97! SB:=B! E?!

O9OE<=97!<9!SEO9:!E<A9<=DBC9!<><Ga<!AB:9!E<!E?!PHE!:E!SBRB!BN?>ABC9!NE<B:!

ND>VB=>VB:!CE!?>QED=BC7!<>!NE<B:!CE!><SBQ>?>=BA>J<!ND9TE:>9<B?!B!B?Ga<!9T=B?OJ?9G92!

!

15.- CONCORDANCIA ENTRE LA CONCLUSIÓN DEL INFORME

PERICIAL Y LA RESOLUCIÓN JUDICIAL:

%<!?B!:ED>E!Y!SBR!A9<A9DCB<A>B!E<=DE!?B!A9<A?H:>J<!CE?!><T9DOE!NED>A>B?!E<!

=9C9:!?9:!AB:9:!OE<9:!H<97!E:!CEA>D7!E<!]]!CE!?9:!]Z!AB:9:2!

)9!SHQ9!A9<A9DCB<A>B!E<!H<!AB:9!E<!E?!PHE!:E!><T9DOJ!?B!A9<CHA=B!A9O9!

><A9DDEA=B!N9D!<9!=9OBD!?B!'+(!B!H<!NBA>E<=E!CE!_l!Bh9:7!E<!VBD>B:!9AB:>9<E:!E<!

A9<:H?=B7! DE=DB:B<C9! N9D! E??9! E?! C>BG<J:=>A9! CE?! G?BHA9OB2! #! NE:BD! CE! E??97! E?!

B:H<=9!:E!BDAS>VJ!E<!V@B!'E<B?2!

CONCORDANCIA SERIE 1

22; 96%

1; 4%ConcordanciaNo concordancia

Gráfica 33.- 69<A9DCB<A>B!E<=DE!?B:!A9<A?H:>9<E:!CE?!><T9DOE!NED>A>B?!R!?B!

DE:9?HA>J<!eHC>A>B?!E<!?B!:ED>E!Y2!

!

][n!


%<!?B!:ED>E!]!N9CEO9:!B<B?>pBD!?B!A9<A9DCB<A>B!:9?BOE<=E!E<!_Z!CE!?B:!_k!

CE<H<A>B:!E:=HC>BCB:7!N9DPHE!A9O9!SEO9:!C>AS97!SBR!_!NE<C>E<=E:!CE!eH>A>92!,E!

E:=B:!_Z!CE<H<A>B:7!SBR!A9<A9DCB<A>B!E<!_Y!CE!E??B:2!

"9:! C9:! AB:9:! E<! ?9:! PHE! <9! SBR! A9<A9DCB<A>B! THED9<! H<B! NEDT9DBA>J<!

9AH?BD!B?! >DD>GBD!A9<!BGHeB!O9<=BCB!E<!?B!eED><GH>??B7!PHE!:E!BDAS>VJ2!q!H<!"#&+y!!

E<! E?! PHE! :E!S>p9! H<! A9?GBe9! ><A9ON?E=97! PHE!N9:=ED>9DOE<=E! DE><=EDV><>ED9<! E<!

9=D9!AE<=D92!%:=E!AB:9!=EDO><J!A9<!:E<=E<A>B!BQ:9?H=9D>B2!

CONCORDANCIA SERIE 2

41; 95%

2; 5%ConcordanciaNo concordancia

!

!

Gráfica 34.- 69<A9DCB<A>B!E<=DE!?B:!A9<A?H:>9<E:!CE?!><T9DOE!NED>A>B?!R!?B!

DE:9?HA>J<!eHC>A>B?!E<!?B!:ED>E!]2!

KEO9:!N9D! ?9! =B<=9!PHE! ?B! A9<A9DCB<A>B! E<=DE! ?B! DE:9?HA>J<! eHC>A>B?! R! E?!

><T9DOE!NED>A>B?!E:!OHR!B?=B2!,E?!njt!E<!?B!&ED>E!Y!R!CE?!n[t!E<!?B!&ED>E!]2!

!

!

!

!

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n2j!,>:AH:>J<d!

!

!

%?!ND>OED!CB=9!PHE!<9:! ??BOB!?B!B=E<A>J<!E:!E?! ><ADEOE<=9!E<!E?!<aOED9!

CE! CE<H<A>B:! A9<=DB! 9T=B?OJ?9G9:! E<! ?9:! a?=>O9:! C>Ep! Bh9:2! .9C9:! ?9:! BH=9DE:!

A9><A>CE<! E<! DEA9<9AED! E:=E! ><ADEOE<=9! E<! ?B:! CE<H<A>B:! N9D! OB?B! NDBb>:7! E<!

GE<EDB?7! NED9! E<! E?! E:=HC>9! DEB?>pBC9! R! E<! DE?BA>J<! B! ?B:!OHE:=DB:! A9ONBDBCB:7!

N9CEO9:! A9<A?H>D! PHE! E:=E! ><ADEOE<=9! E<! ?B! E:NEA>B?>CBC! CE! (T=B?O9?9G@B! R!

CE<=D9!CE! ?B! 8HD>:C>AA>J<!'E<B?!E:!A9<ADE=BOE<=E!CE?!C9Q?E!CE?!PHE!Eb>:=@B!SBAE!

C>Ep!Bh9:2!

!

9.6.1.- DISCUSIÓN SOBRE LAS VARIABLES RELACIONADAS

CON LA DENUNCIA:

&EGa<! ?9:! CB=9:! E:=HC>BC9:7! <9:! E<A9<=DBO9:! B<=E! C9:! GDHN9:! CE!

CE<H<A>B<=E:! =9=B?OE<=E! S9O9G;<E9:7! E<! AHB<=9! B!sexo! R! B!edad2! #H<PHE! ?B!

OEC>B!CE!ECBC!E<A9<=DBCB!E<!?B!:ED>E!Y!E:!CE!_[!Bh9:7!R!E<!?B!:ED>E!]!THE!CE![^!

Bh9:7!A9O9!SEO9:!V>:=97!<9!Eb>:=E!C>TEDE<A>B!:>G<>T>AB=>VB2!

!

%<! AHB<=9! B?! ámbito asistencial7! R! E<! DE?BA>J<! B! ?B:! OHE:=DB:!

A9ONBDBCB:7!VEO9:!PHE!:9<!OU:!TDEAHE<=E:!?B:!CE<H<A>B:!N9D!BA=HBA>9<E:!E<!E?!

UOQ>=9! CE! ?B! :B<>CBC! NaQ?>AB7! A9<! H<B! NDEVB?E<A>B! E<! =9D<9! B?! [^t! E<! BOQB:!

:ED>E:2!

!

%<! AHB<=9! B?! 9=D9! [^t! CE! ?B:! CE<H<A>B:7! SEO9:! E<A9<=DBC9! un

incremento significativo en el número de denuncias por actuaciones

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oftalmológicas realizadas en la sanidad privada! E<! ?9:! a?=>O9:! C>Ep! Bh9:2!

iBR!H<!CEADEOE<=97!=BOQ>;<!:>G<>T>AB=>V9!CE!?B:!CE<H<A>B:!N9D!BA=HBA>9<E:!E<!E?!

UOQ>=9! CE! ?B:! 69ONBh@B:! #:EGHDBC9DB:2! '9:>Q?EOE<=E! E:E! ><ADEOE<=9! GHBDCE!

DE?BA>J<!A9<!E?!OBR9D!<aOED9!CE!CE<H<A>B:!N9D!A>DHG@B! DETDBA=>VB!R!E<!A9<ADE=9!

N9D! ><=EDVE<A>9<E:! CE! "#&+y7! PHE! :E! ND9CHAE<! E<! ?B! BA=HB?>CBC2! %:=E! =>N9! CE!

><=EDVE<A>9<E:!SBQ>=HB?OE<=E!:E!DEB?>pB<!E<!E?!UOQ>=9!ND>VBC92!!

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CE<H<A>B! OU:! B! ?9:! 9T=B?OJ?9G9:! PHE! =DBQBeB<! E<! ?B! :B<>CBC! NaQ?>AB7! RB! PHE!

E<A9<=DBO9:! H<! :E:G9! >ON9D=B<=E! B?! :ED! :E<:>Q?EOE<=E! :HNED>9D! E?! <aOED9! CE!

BA=9:!O;C>A9:!DEB?>pBC9:!E<!?B!:B<>CBC!NaQ?>AB!PHE!?9:!DEB?>pBC9:!E<!?9:!9=D9:!C9:!

UOQ>=9:! B:>:=E<A>B?E:2! #CEOU:! CE! <9! :ED! S9O9G;<EB:! ?B:! NDE:=BA>9<E:! PHE!

9TDEAE<!?B!:B<>CBC!NaQ?>AB!R!?B!ND>VBCB2!69O9!SEO9:!V>:=97!H<B!CE!?B:!BA=HBA>9<E:!

9T=B?O9?JG>AB:! A9<! OBR9D! D>E:G9! CE! CE<H<A>B:! E:! ?B! A>DHG@B! DETDBA=>VB7! PHE!

SBQ>=HB?OE<=E!<9!:E!NDBA=>AB!E<!?B!:B<>CBC!NaQ?>AB2!

!

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OBR9D>=BD>97!A9<!BON?>B!C>TEDE<A>B7!RB!PHE!A9<:=>=HRE!E?!_^t!CE!BOQB:!:ED>E:7!E:!

?B!A>DHG@B!CE!AB=BDB=B:2!!

!

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!

%?! :EGH<C9! =>N9!CE!BA=HBA>J<!9T=B?O9?JG>AB!PHE!OEDEAE! A9OE<=BD:E! :9<!

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X[j`! A9<:>CEDB<! ?B:! ><=EDVE<A>9<E:! CE! "#&+y! E?! GDHN9! OBR9D>=BD>BOE<=E!

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=BOQ>;<! 9AHDDB! E:=9! E<! <HE:=D9! OEC>97! :9QDE! =9C9! :>! =E<EO9:! E<! AHE<=B! C9:!

TBA=9DE:d!

Y|`\! "B! =E<CE<A>B! ADEA>E<=E! PHE! SEO9:! E<A9<=DBC9! E<! E?! <aOED9! CE!

CE<H<A>B:!N9D!E:=E!=>N9!CE!A>DHG@B7!B!?9!?BDG9!CE!E:=9:!C>Ep!Bh9:7!NB:B<C9!CE!H<!

nt!B!H<!Ynt2!#H<PHE!<9!SEO9:!N9C>C9!CEO9:=DBD!PHE!E:=E! ><ADEOE<=9! =E<GB!

:>G<>T>ABA>J<!E:=BC@:=>AB2!

]|`\!rHE!<HE:=D9!E:=HC>9!:E!AE<=DB!AB:>!EbA?H:>VBOE<=E!E<!DEA?BOBA>9<E:!

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PHE! E:=E! =>N9! CE! DEA?BOBA>9<E:! :E! N?B<=EE<! E<! ?B! K@B! 6>V>?7! C9<CE! E:!OU:! TUA>?!

A9<:EGH>D!H<B!:E<=E<A>B!A9<CE<B=9D>B!CE?!9T=B?OJ?9G9!XlY`7!Xlj`7!Xln`2!

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(=D9:! =>N9:! CE! BA=HBA>9<E:! CE! D>E:G97! NED9! A9<! OE<9D! ><A>CE<A>B! E:! E?!

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&ED>E!Y!E:=9:!GDHN9:!DENDE:E<=B<!ABCB!H<97!H<!!nt!CE?!=9CB:!?B:!CE<H<A>B:!R!E?!?B!

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9.6.2.- LAS VARIABLES RELACIONADAS CON EL MÉDICO:

!

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A9<9A>O>E<=9:! A>E<=@T>A9:! B! C>:N9:>A>J<! CE?! BQ9GBC9! CE?! CEOB<CB<=E2! %:=B!

:>=HBA>J<! V>E<E! 9AHDD>E<C9! CE:CE! SBAE! Bh9:! E<! %%55! XnZ`7! ND9N>A>BCB! N9D! ?B:!

><CEO<>pBA>9<E:!OH?=>O>??9<BD>B:!PHE!:E!E:=U<!A9<AEC>E<C9!E<!?B:!CE<H<A>B:!N9D!

<EG?>GE<A>B:!O;C>AB:2!

!

"B! >ON9D=B<A>B! CE! E:=B:! AD@=>AB:! CE! 9=D9:! 9T=B?OJ?9G9:7! EDB! H<B! CE! ?B:!

A9<A?H:>9<E:!CE!?B!=E:>:!CE!?B!,DB2!.EDE:B!&9?B<:!*BDD>!XY2nn]`7!BT>DOB<C9!PHE!L?B!

BN9D=BA>J<! CE! A9?EGB:! O;C>A9:! PHE! E<! :EGH<CB! A9<:H?=B! DEB?>pB<! A9OE<=BD>9:!

GDB=H>=9:! 9! LEb! BQH<CB<A>BW! Eb=E<C>;<C9:E! ><<EAE:BD>BOE<=E! E<! AD@=>AB:! OU:! 9!

OE<9:!VE?BCB:!B!?B!BA=HBA>J<!CE?!A9ONBhED9!B?!PHE!:E!:HN9<E!E<!OHAS9:!AB:9:7!

A9<! <9=BQ?E! :HNEDT>A>B?>CBC7! ABH:B<=E! CE! ?B! OB?B! EV9?HA>J<! CE?! AHBCD9! A?@<>A9W!

X]Y`2!%:=B!BT>DOBA>J<7!B:@!A9O9!<HE:=DB!ND9N>B!EbNED>E<A>B!A9O9!NED>=9!eHC>A>B?!E<!

E:=E! =>N9! CE! B:H<=9:7! <9:! S>p9! ><A?H>D! E:=B! N9:>Q>?>CBC! A9O9! H<B! VBD>BQ?E! B!

E:=HC>BD7!R!<9!:9?BOE<=E!:E!SB<!A9<T>DOBC9!<HE:=DB:!:9:NEASB:!A9O9!H<!TBA=9D!

OHR! >ON9D=B<=E!CE! ?B!CEA>:>J<!CE!CE<H<A>BD!B!H<!9T=B?OJ?9G97!:><9!PHE!BCEOU:!

SEO9:! V>:=9! PHE! E:=E! ><ADEOE<=9! E<! ?9:! a?=>O9:!C>Ep! Bh9:! E:=U!OHR!NDJb>O9!B!

B?AB<pBD!:>G<>T>ABA>J<!E:=BC@:=>AB2!

!

"B!relación médico paciente THE!OB?B!E<!OU:!CE!?B!O>=BC!CE!?9:!AB:9:!

R!=B<!:9?9!A9<:>CEDBO9:!PHE!THE!<9DOB?!E<!H<!=EDA>9!CE!?9:!AB:9:2!%<=DE!E?!l7[!R!

]k^!


E?!YZ!t!CE!?9:!NBA>E<=E:!PHE!CEOB<CB<!:E!SB<!:E<=>C9!BQB<C9<BC9:2!qB!V>O9:!

PHE!?B!:E<:BA>J<!CE!BQB<C9<9!E<!E?!NBA>E<=E!E:!H<!TBA=9D!CE!D>E:G9!CE!CEOB<CB:!

XY]`7! B:@! A9O9!O9:=DBD! A9ONB:>J<! SBA>B! E?! E<TEDO9! E:! H<! TBA=9D! CE! ND9=EAA>J<!

X_l`2! "B! OBR9D@B! CE! ?9:! BH=9DE:! A9><A>CE<! E<! PHE! H<B! OB?B! DE?BA>J<! O;C>A9\

NBA>E<=E!TBV9DEAE!?B:!DEA?BOBA>9<E:!Xn`7!X_l`2!

!

69O9!EDB!E:NEDBQ?E7!E<!AHB<=9!B!?B!titulación del médico denunciado!

N9D!OB?B!BA=HBA>J<!ND9TE:>9<B?!9T=B?O9?JG>AB7!E<!?B!><OE<:B!OBR9D@B!CE!?9:!AB:9:!

XE<=DE! E?! kl! R! E?! lZ! t`! :9<! 9T=B?OJ?9G9:2! %<! E?! 9=D9! ]^t! CE! ?9:! AB:9:! :9<!

E:NEA>B?>:=B:!<9!9T=B?OJ?9G9:7!O;C>A9:!GE<EDB?E:!9!DE:>CE<=E:!CE!9T=B?O9?9G@B2!%<!

AHB<=9!B!?B!capacitación profesional!NBDB!DEB?>pBD!?B!><=EDVE<A>J<!CE<H<A>BCB7!

E<! ?B! ><OE<:B!OBR9D@B! CE! ?9:! AB:9:7! E<=DE! E?! lZ! R! E?! lk!t! :EGa<! ?B! :ED>E7! E?!

O;C>A9!CE<H<A>BC9! =E<@B!BADEC>=BCB! ?B!ABNBA>=BA>J<!ND9TE:>9<B?!NBDB!E:E! =>N9!CE!

BA=HBA>J<2! 69<=DB:=B! E:=E! CB=97! A9<! E?! N?B<=EBO>E<=9! OBR9D>=BD>9! CE! ?B:!

CE<H<A>B:7!PHE!A9O9!V>O9:!EDB<!N9D!>ONED>A>B!E<!E?!_lt!CE!?B:!DEA?BOBA>9<E:!CE!

?B!&ED>E!Y!R!??EGBQB<!B?!jlt!CE!?B:!DEA?BOBA>9<E:!CE!?B!&ED>E!]2!!

!

7.3.- LAS VARIABLES RELACIONADAS CON EL INFORME

PERICIAL:

!

"B!historia clínica,!A9O9!V>O9:7!CE:EONEhB!H<!NBNE?!OHR! >ON9D=B<=E7!

AHB<C9!<9!CEA>:>V97!E<! ?B:!CE<H<A>B:!N9D!<EG?>GE<A>B!O;C>AB2!,EQE!AHON?>D!H<B!

TH<A>J<! E:A?BDEAEC9DB! XYY`7! R! ?B! OBR9D@B! CE! ?9:! BH=9DE:! CET>E<CE<! E?! NBNE?!

ND>O9DC>B?!CE!?B!S>:=9D>B!E<!E:=9:!AB:9:!X]Z`7!XY]`7!Xn`7!X[Y`7!X[]`!!qB!V>O9:!PHE!

NBDB!N9CED!:ED!A9<:>CEDBCB!A9DDEA=B!CEQE!DEH<>D!H<B!:ED>E!CE!ABDBA=ED@:=>AB:!Xn`7!

XY]`!R!A9<:=BD!CE!H<B!:ED>E!CE!NBD=E:!E:NEA>T>ABCB:!E<! ?B!"ER!_Ys]2^^]!X[^`2!"B!

CET>A>E<=E!AB?>CBC!CE!?9:!S>:=9D>B?E:!A?@<>A9:7!RB!SB!:>C9!NHE:=B!CE!OB<>T>E:=9!A9O9!

ABH:B!CE!OB?BNDBb>:!O;C>AB7!N9D!BH=9DE:!PHE!SB<!E:=HC>BC9!E?!=EOB2!Xjk`!

]kY!


!

%<!?B:!:ED>E:!E:=HC>BCB:!SEO9:!A9<:>CEDBC9!A9DDEA=9!E?!S>:=9D>B?!BN9D=BC9!

E<=DE!E?!_^!R!E?![^!t!CE! ?9:!AB:9:7!BND9b>OBCBOE<=E2!&><!E<A9<=DBD!C>TEDE<A>B:!

:>G<>T>AB=>VB:!B?!DE:NEA=9!B!?9!?BDG9!CE!?9:!a?=>O9:!C>Ep!Bh9:2!rH>EDE!E:=9!CEA>D7!PHE!

B!C>TEDE<A>B!CE!?B!OEe9D@B!PHE!SEO9:!A9<:=B=BC9!E<!DE?BA>J<!B?!C9AHOE<=9!CE!6+7!

B!?9!?BDG9!CE!?9:!a?=>O9:!C>Ep!Bh9:7!no hemos podido demostrar una mayor

calidad de los historiales oftalmológicos aportados! E<! ?9:! AB:9:! CE!

DEA?BOBA>9<E:! N9D! BA=HBA>J<! ND9TE:>9<B?! O;C>AB! ><A9DDEA=B! B! ?9! ?BDG9! CE! E:=E!

NED>9C9!CE!=>EON92!+<A?H:9!SEO9:!N9C>C9!A9OND9QBD!PHE!BA=HB?OE<=E!E<!E?!j!t!

CE! ?B:!DEA?BOBA>9<E:7!<9!:E!BN9D=B!E?!S>:=9D>B?!9T=B?O9?JG>A97!B!NE:BD!CE!SBQED?9!

:9?>A>=BC9! H<! 8HEp7! E<! ?B! OBR9D@B! CE! ?9:! AB:9:! E<! V>D=HC! CE! H<B:! C>?>GE<A>B:!

NE<B?E:!BQ>ED=B:2!%:=E!><AHON?>O>E<=9!E<!DEO>=>D!E?!S>:=9D>B?!:9?>A>=BC9!N9D!H<!8HEp!

CHDB<=E! ?B! TB:E! CE! ><:=DHAA>J<! CE! H<! B:H<=9! NE<B?! A9<=DBV>E<E! A?BDBOE<=E! ?9!

C>:NHE:=9!E<!E?!NH<=9!Z|!CE?!BD=@AH?9!Yj!CE!?B!"ER!_Ys]2^^]2!

!

.BOQ>;<! SEO9:! E:=HC>BC9! ?B! Eb>:=E<A>B! CE! H<! error de diagnóstico7!

A9O9!O9=>V9! E<! E?! PHE! QB:BD! ?B! DEA?BOBA>J<! N9D!OB?B! NDBb>:!O;C>AB2! 'ED9! ?9:!

DE:H?=BC9:! SB<! :>C9! A9<=H<CE<=E:7! <9! SEO9:! BNDEA>BC9! EDD9D! C>BG<J:=>A9! E<!

BND9b>OBCBOE<=E!E?!l^t!CE!?B:!DEA?BOBA>9<E:!Xkl7Z!t!E<!?B!&ED>E!Y!R!lk7]t!CE!

?B! &ED>E! ]2! &><! E<A9<=DBD! C>TEDE<A>B! E:=BC@:=>ABOE<=E! :>G<>T>AB=>VB! E<=DE! E:=B:!

A>TDB:`2!%<!B?GH<B:!DEA?BOBA>9<E:7!N9D!CEQBe9!CE?!Y^t!E<!BOQB:!:ED>E:7!Eb>:=>J!H<!

EDD9D!C>BG<J:=>A97!NED9!PHE!<9!A9<:>CEDBO9:!PHE!THEDB!CE=EDO><B<=E!CE!?B!?E:>J<!

ND9CHA>CB! R! :9?BOE<=E! E<! BND9b>OBCBOE<=E! H<! Y]t! CE! ?9:! AB:9:! XYZt! E<! ?B!

&ED>E!Y!R!YYt!E<!?B!&ED>E!]`!:E!ND9CHAE!H<!EDD9D!C>BG<J:=>A9!CE=EDO><B<=E!CE!?B!

?E:>J<!ND9CHA>CB2!

!

iEO9:! B<B?>pBC9! E:=9:! AB:9:! E<! ?9:! PHE! :E! ND9CHe9! EDD9D! C>BG<J:=>A9!

CE=EDO><B<=E!CE!?B!?E:>J<!ND9CHA>CBd!CE!?9:!=DE:!AB:9:!E<A9<=DBC9:!E<!?B!&ED>E!Y7!

:9?BOE<=E! E<! H<9! CE! E??9:7! E?! ><T9DOE! NED>A>B?! 9T=B?O9?JG>A9! A9<:>CEDJ! PHE! :E!

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?9:!A><A9:!AB:9:!E<!?9:!PHE!SHQ9!EDD9D!C>BG<J:=>A9!CE=EDO><B<=E!CE!?B!?E:>J<w!H<9!

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DE=DB:B<C9!E?!C>BG<J:=>A9!CE!H<!CE:NDE<C>O>E<=9!CE!DE=><B2!"9:!A><A9!AB:9:!THED9<!

BDAS>VBC9:2! '9D! ?9! =B<=97! ?B:! DE:9?HA>9<E:! eHC>A>B?E:! CE! ?B:!OHE:=DB:! E:=HC>BCB:7!

:9<! BA9DCE:! B! ?B! C9A=D><B! eHD>:NDHCE<A>B?! E<! E:=E! :E<=>C97! PHE! A9O9! V>O9:7! :E!

:><=E=>pB!E<!?B!&.&!CE!_!CE!:EN=>EOQDE!CE!Y2nnY7!R!PHE!DE:HOE!/BD=@<Ep\'EDECB!

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><EbAH:BQ?E2X[`!

!

%<! DE?BA>J<! B! ?B! previsibilidad de las complicaciones surgidas7! ?9!

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><A>CE<A>B!CE!E:=E!=>N9!CE!A9ON?>ABA>9<E:!E<!BOQB:!OHE:=DB:2!!

!

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V>:=B!CE!H<B!EVE<=HB?!DE:N9<:BQ>?>CBC!ND9TE:>9<B?2!

!

%<!AHB<=9!B?!tipo de complicación PHE!A9<!OU:!TDEAHE<A>B!O9=>VB!H<B!

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GDB<!>ON9D=B<A>B!CE!E:=E!ND9AE:9!A9O9!ABH:B!CE!DEA?BOBA>9<E:!eHC>A>B?E:!E<!E:=E!

a?=>O9!Bh97!Xn_`!B!NE:BD!CE!:H!QBeB!NDEVB?E<A>B7!PHE!:E!A9<:>CEDB!E<!=9D<9!B?!^7Z!

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><=EDNHE:=B:!N9D!E<C9T=B?O>=>:!:E!:>=aB!E<=DE!H<!Z_7lt!E<!?B!&ED>E!Y!R!H<!Y_7nt!

E<!?B!&ED>E!]2!%:!CEA>D7!E<=DE!E?!Y[!R!E?!Z[!t!CE!?9:!AB:9:!BND9b>OBCBOE<=E7!:><!

PHE!E<A9<=DEO9:!C>TEDE<A>B!:>G<>T>AB=>VB2!

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&ED>E! ]2! %:=E! ><ADEOE<=97! B! NE:BD! CE! :ED! >ON9D=B<=E7! <9! =>E<E! :>G<>T>ABA>J<!

E:=BC@:=>AB2!

!

%<!AHB<=9!B?!tipo de responsabilidad exigida,!E<!?B!NDUA=>AB!=9=B?>CBC!

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1)- En la Jurisdicción Civil:

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11.- PROBLEMAS MÉDICO-LEGALES

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12.- BIBLIOGRAFÍA.!

!

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BIBLIOGRAFÍA:

!Y2! Benzo Cano E.! "B! DE:N9<:BQ>?>CBC! ND9TE:>9<B?! CE?! O;C>A92! /BCD>Cd!

%:AE?>AEDw!Ynn_2!]2! Montero Juanes FJ.! "B! DE:N9<:BQ>?>CBC! N9D! AH?NB! O;C>AB! E<! ?B!

?EG>:?BA>J<!R! eHD>:NDHCE<A>B!E:NBh9?B:2!%<! d!#<U?>:>:!CE! ?B! DE:N9<:BQ>?>CBC!ND9TE:>9<B?! CE?! O;C>A92! $E:N9<:BQ>?>CBC! CE?! O;C>A9! T9DE<:E2! /BCD>C2d!61'8w!Ynnnd!]\Zj2!

Z2! Llamas Pombo E.! "B! DE:N9<:BQ>?>CBC! A>V>?! CE?!O;C>A92!/BCD>Cd!.D>V>HOw!Ynll2!

_2! Marañón G.! 'DJ?9G92! %<d! "B! DE:N9<:BQ>?>CBC! ND9TE:>9<B?! CE?! O;C>A92!/BCD>Cd!%:AE?>AEDw!Ynn_dZ\Z^2!

[2! Martinez-Pereda JM.! "B! DE:N9<:BQ>?>CBC! NE<B?! CE?! O;C>A9! R! CE?!:B<>=BD>92!ZÄ!EC!/BCD>Cd!69?Ebw!Ynnk2!

j2! García Hernández T.! 5<! E:=HC>9! AD@=>A9! B! ?B! C9A=D><B! TDB<AE:B! A9O9!NDEAHD:9DB!CE!?B!>DDE:N9<:BQ>?>CBC!CE?!O;C>A92!.BN>B2!Ynnnw%<E\-EQdYk\]]2!

k2! Kraushar JM, Robb JH.! (NS=B?O>A! OB?NDBA=>AE! ?Bz:H>=:! z>=S! ?BDGE!O9<E=BDR!BzBDC:2!#DAS!(NS=SB?O9?2!YnnjwYY_XZ`dZZn\_^2!

l2! Diario Médico2!"9:!O;C>A9:!CE!%%55!SBAE<!QB<CEDB!CE! ?B:! ?ERE:!:9QDE!DE:N9<:BQ>?>CBC2!%<!,>BD>9!/;C>A9!CE!YZ!CE!E<ED9!CE!]2^^[2w!n2!

n2! Curriel J.!,E!O;C>A9:7!eHEAE:!E!S>:=9D>B!A?@<>AB2!%<d!,>BD>9!/;C>A9!CE!_!CE!BQD>?!CE!]^^^2!

Y^2! Gisbert Calabuig JA.! /EC>A><B! "EGB?! R! .9b>A9?9G@B2! _Ä! EC2! /BCD>Cd!&B?VB=w!YnnYw!jZ2!

YY2! Soto Nieto F.! ,Bh9:! CED>VBC9:! CE! <EG?>GE<A>B! O;C>AB2! .E<CE<A>B!ND9GDE:>VB! SBA>B! E?! E:=BQ?EA>O>E<=9! CE! H<! :>:=EOB! CE! QBDEO9:2! %<d!$E:N9<:BQ>?>CBC! CE?! NED:9<B?! :B<>=BD>92!/BCD>Cd! 61'8! R!/|! CE! &B<>CBC! R!69<:HO92w!Ynn[d[Yk\[[[2!

Y]2! Menéndez de Lucas JA.! 6HE:=>9<E:! O;C>A9! T9DE<:E:! CE! ><=ED;:! E<! ?B!NDUA=>AB!A?@<>AB2!/BCD>Cd!/B:=ED!"><Ew!Ynnn2!

YZ2! Hernández Gil A.! $E:N9<:BQ>?>CBC! N9D! OB?BNDBb>:! O;C>AB! ã.SE:>:!C9A=9DB?>:å2!5<>VED:>CBC!CE!6JDC9QBw!]2^^]2!_n_!NN2!

Y_2! De la Cruz Rodriguez JG.!"B!NED>=BA>J<!O;C>A9!T9DE<:E!E<!?9:!AB:9:!CE!DE:N9<:BQ>?>CBC!O;C>AB2!%<d!#<U?>:>:!CE! ?B! DE:N9<:BQ>?>CBC!ND9TE:>9<B?!CE?!O;C>A92!$E:N9<:BQ>?>CBC!CE?!O;C>A9!T9DE<:E2!/BCD>Cd!6%8#8w!Ynnnd!Zj2!

Y[2! Rojas N.!/EC>A><B!"EGB?2!lÄ!EC!*HE<9:!#>DE:d!%?!#=E<E9w!Ynj_2!Yj2! Sena JA.!(T=B?O9?9G@B!OEC>A9?EGB?!*HE<9:!#>DE:d!%C>=9D>B?!5<>VED:>=BD>B!CE!

*HE<9:!#>DE:!YnlY2!Yk2! Carrasco Perea JL.!'DJ?9G92!%<d!6HE:=>9<E:!O;C>A9! T9DE<:E:!CE! ><=ED;:!

E<!?B!NDUA=>AB!A?@<>AB2!/BCD>Cd!/B:=ED!"><Ew!Y2nnndk\n2!Yl2! Lara Peinado F.!6JC>G9!CE!iBOOHDBQ>2!ZÄ!EC!/BCD>Cd!.EA<9:w!Ynnk2!Yn2! Blas Orbán C.! $E:N9<:BQ>?>CBC! ND9TE:>9<B?! CE?! O;C>A9! *BDAE?9<Bd! 8/!

*9:S!EC>=9Dw!]^^Z2!]^2! Suárez RM.! ,E9<=9?9G@B ! ,EDEAS97!/EC>A><B2!/BCD>Cd! 69?EG>9! (T>A>B?! CE!

/;C>A9:!CE!/BCD>Cw!Ynkkw!Y[\][2!7

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]Y2! Solans Barri T.!$ENEDAH:>J<!O;C>A9\?EGB?!CE?!EeEDA>A>9!CE!?B!9T=B?O9?9G@B2!*BDAE?9<Bd2! 5<>VED:>CBC! #H=J<9OB! CE! *BDAE?9<Bw! Ynn]2! ZZ[! NN2! .SE:>:!,9A=9DB?>:2!

]]2! Laín Entralgo P.!i>:=9D>B!5<>VED:B?!CE!?B!/EC>A><B2!K9?2!++!/BCD>Cd!&B?VB=w!Ynk[2!Z]k\ZjZ2!

]Z2! Carrasco Gómez JJ.!$E:N9<:BQ>?>CBC!O;C>AB!R!N:>PH>B=D@B2!]Ä!EC!/BCD>Cd!69?Ebw!Y2nnl2!

]_2! Hernández J, Hernández ML, Hernández A.! /B?! NDBb>:! O;C>AB2!69<AEN=9:!NED:9<B?E:!R!A9<:>CEDBA>9<E:!:9QDE!:H!ND9Q?EOU=>AB!B!?B!?Hp!CE!EbNED>E<A>B:! NDEV>B:! E<! NB@:E:! Eb=DB<eED9:2! 6HBC! /EC! -9D2! Y2nnjw_dX_l\[[2`2!

][2! Lledó C.! 6BH:B:! CE?! BHOE<=9! CE! DEA?BOBA>9<E:! R! <HEVB:! THE<=E:! CE!DE:N9<:BQ>?>CBC2!6HBC!/EC!-9D2!Ynnjw_dXZk\_k`2!

]j2! Romeo! Casabona CM.! %?! O;C>A9! B<=E! E?! CEDEAS9! /BCD>Cd! &EADE=BD@B!.;A<>AB!CE?!/><>:=ED>9!CE!&B<>CBC!R!69<:HO9w!Ynlj2!

]k2! Diario Médico.!$ECBAA>J<2!5<!E:=HC>9!OHE:=DB!PHE!?B!?>=>G>9:>CBC!GE<EDB!OU:!EDD9DE:!B:9A>BC9:!B!CEOB<CB2!]]!CE!BQD>?!CE!Ynnj!NUG!Y]2!

]l2! Mohr JC.!8BOB2!]^^^w]lZdXYkZY\Zk`2!]n2! Revuelta P.!$Bp9<E:!CE?!BHOE<=9!CE! ?B:! DEA?BOBA>9<E:!O;C>AB:2!,>BD>9!

/;C>A9!CE![!CE!BQD>?!CE!]^^^2!Z^2! Código de Etica y Deontología Médica.!#<HBD>9!A9?EG>B?!]2^^^2!/BCD>Cd!

+?H:=DE!69?EG>9!(T>A>B?!CE!/;C>A9:!CE!/BCD>Cw!]2^^^w!++d!XY_k[\Y_lY`2!ZY2! Constitución Española.! %<d! "EG>:?BA>J<! &9A>B?! *U:>AB2! kÄ! EC2! /BCD>Cd!

6>V>=B:w!Y2nlld]n\jk2!Z]2! Martínez L.!"B!DE:N9<:BQ>?>CBC!A>V>?!ND9 E:>9<B?!/BCD>Cd!69?Ebw!Y2nnj2!TZZ2! Marina J.! $E:N9<:BQ>?>CBC! A9<=DBA=HB?! 9! Eb=DBA9<=DBA=HB?! 9QeE=>VB! 9!

:HQeE=>VB2!%?!A9<AEN=9!CE!"Eb!#D=>:!BC!S9A!A9O9!AD>=ED>9!O9CH?BC9D!CE! ?B!DE:N9<:BQ>?>CBC2! %<d! "B! DE:N9<:BQ>?>CBC!NE<B?! R! A>V>?! CE?!O;C>A92!/BCD>Cd!+?H:=DE!69?EG>9!(T>A>B?!CE!/;C>A9:!CE!/BCD>Cww!YnnndkY\kl2!

Z_2! Fernández Entralgo J.! +ONDHCE<A>B! O;C>AB2! "B:! NE<B:2! %<d! "B!DE:N9<:BQ>?>CBC!NE<B?!R!A>V>?!CE?!O;C>A92!/BCD>Cd!+?H:=DE!69?EG>9!(T>A>B?!CE!/;C>A9:!CE!/BCD>Cw!YnnndY[\jn2!

Z[2! Díaz-Maroto J, Suárez CJ.!6JC>G9!'E<B?!R!"EG>:?BA>J<!69ON?EOE<=BD>B2!YkÄ!EC!/BCD>Cd!6>V>=B:w!Ynn]2!

Zj2! 6JC>G9!6>V>?2!YZÄ!EC!/BCD>Cd!69?Ebw!]^^]2!Zk2! Merino A.! "B! NDHEQB! A>V>?! E<! E?! ND9AE:9! CE! DE:N9<:BQ>?>CBC! O;C>AB2!

+<VED:>J<! 9! <9! CE! ?B! ABDGB! CE! ?B! NDHEQB2! %<d! "B! DE:N9<:BQ>?>CBC! A>V>?! R!NE<B?! CE?!O;C>A92! /BCD>Cd! +?H:=DE! 69?EG>9! (T>A>B?! CE! /;C>A9:! CE!/BCD>Cw!YnnndY_Z\Y[_2!

Zl2! Ley 30/1992 de Régimen Jurídico de las Administraciones Públicas y del Procedimiento Administrativo Común2! %<d!/BD=@<! "!"ERE:!#CO><>:=DB=>VB:2!)BVBDDBd!#DB<pBC>w!]^^^dZkk\_l[2!

Zn2! Martinez-Pereda JM.!%?!<HEV9!=DB=BO>E<=9!CE!?B!DE:N9<:BQ>?>CBC!O;C>AB!E<! E?! 6JC>G9! 'E<B?! CE! Ynn[2! ,>TEDE<A>B:! R! :>O>?>=HCE:! A9<! ?B! DEGH?BA>J<!B<=ED>9DOE<=E! V>GE<=E2! %<d! $E:N9<:BQ>?>CBC! A>V>?! R! NE<B?! CE?! O;C>A92!/BCD>Cd!+?H:=DE!69?EG>9!(T>A>B?!CE!/;C>A9:!CE!/BCD>C2w!YnnndYYY\YYn2!

!

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_^2! Álvarez-Cienfuegos JM.!$E:N9<:BQ>?>CBC!CE?!EPH>N9!O;C>A9!R!CE?!AE<=D9!:B<>=BD>92! "B!BN?>ABA>J<!CE! ?B! :9?>CBD>CBC!E<! ?B! DE:N9<:BQ>?>CBC!CEA?BDBCB2!%<d! "B! DE:N9<:BQ>?>CBC! A>V>?! R! NE<B?! CE?! O;C>A92! /BCD>Cd! +?H:=DE! 69?EG>9!(T>A>B?!CE!/;C>A9:!CE!/BCD>Cw!YnnndYYY\YYn2!

_Y2! Alonso M.!%<eH>A>BO>E<=9!6D>O><B?2!YkÄ!EC!/BCD>Cd!6>V>=B:w!Ynnj2!_]2! Legislación sobre enjuiciamiento civil.! ]jÄ! EC! 'BD=E! ZÄ2! /BCD>Cd!

6>V>=B:w!]^^Z2!_Z2! Lorenzo R, Megía I.!%?!:EGHD9!CE!DE:N9<:BQ>?>CBC!A>V>?!CE!ND9TE:>9<B?E:!

CE! ?B! :B<>CBC2! %<d! ,E! "9DE<p9! $! $E:N9<:BQ>?>CBC! ?EGB?! CE?! ND9TE:>9<B?!:B<>=BD>92!/BCD>Cd!%C>A9ON?E=w!]2^^^dZYk\Zl_2!

__2! Hernández Gil A.! $E:N9<:BQ>?>CBC! ?EGB?! CE?! O;C>A92! 'DEVE<A>J<7!C>BG<J:=>A9!R!=DB=BO>E<=92!/BCD>Cd!/B:=ED!"><E!ç!'D9C>G>9w!]2^^[2!

_[2! Diario Médico.! $ECBAA>J<2! +<CEO<>pBCB! A9<! YZ]2Z[k! EHD9:! H<B!NEDT9DBA>J<!9AH?BD2!Z^!CE!eH<>9!CE!]2^^_2!

_j2! López Agúndez JM.! +<CEO<>pBCB! ?B! N;DC>CB! CE! H<! 9e9! N9D! TB?=B! CE!B<=>Q>9=EDBN>B!NDEV>B2!,>BD>9!/;C>A9!CE!n!CE!TEQDED9!CE!]^^_2!)9DOB=>VB2!

_k2! Carrasco D.!)HEVB!A9<CE<B!N9D!<9!EbN?>ABD! ?9:!D>E:G9:!B?!9NEDBD!O>9N@B!A9<!?U:ED2!,>BD>9!/;C>A9!CE!k!CE!E<ED9!CE!]^^_2!

_l2! Parmisano D.! "B:! ][! 6:! NBDB! EV>=BD! CEOB<CB:! R! A9<CE<B:2! 2! ,>BD>9/;C>A9!CE!]_!CE!OBR9!CE!Ynnjw]]2!

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_n2! Laín Entralgo P.!"B!S>:=9D>B!A?@<>AB2!%<d!*B?AE??:!#!'B=9?9G@B!1E<EDB?2!K9?2!++2!*BDAE?9<Bd!.9DBRw!YnkldY_Zl\Y_lk2!

[^2! "ER!_Ys]^^]!CE!Y_!CE!<9V>EOQDE2!"ER!QU:>AB!DEGH?BC9DB!CE!?B!BH=9<9O@B!CE?! NBA>E<=E! R! CE! CEDEAS9:! R! 9Q?>GBA>9<E:! E<! OB=ED>B! CE! ><T9DOBA>J<! R!C9AHOE<=BA>J<!A?@<>AB2!*(%!CE!Y[!CE!<9V>EOQDE!CE!]^^]w<|!]k_w!_^Y]j2!

[Y2! Luna Maldonado A.!'D9Q?EOB:!O;C>A9\?EGB?E:!CE!?B!S>:=9D>B!A?@<>AB!E<!E?!EeEDA>A>9!CE!?B!OEC>A><B2!"9:!CEDEAS9:!CE?!E<TEDO92!/HDA>Bd!69<:EeED@B!CE!&B<>CBC!R!69<:HO9w!Ynlk2!

[]2! Sánchez Caro J.!"B!S>:=9D>B!A?@<>AB2!6D>=ED>9:!QU:>A9:!:9QDE!E?!EeEDA>A>9!CE?!CEDEAS9!CE!><T9DOBA>J<!R!C9AHOE<=BA>J<!A?@<>AB!E<!E?!:>:=EOB!<BA>9<B?!CE!:B?HC2! %<d! "B! DE:N9<:BQ>?>CBC! NE<B?! R! A>V>?! CE?! O;C>A92! /BCD>Cd! +?H:=DE!69?EG>9!(T>A>B?!CE!/;C>A9:!CE!/BCD>Cw!Ynnnd]ZY\][j2!

[Z2! Romeo Casabona CM, Castellano Arroyo M.!"B!><=>O>CBC!CE?!NBA>E<=E!CE:CE!?B!NED:NEA=>VB!CE?!:EADE=9!O;C>A9!R!CE?!BAAE:9!B! ?B!S>:=9D>B!A?@<>AB2!,EDEAS9!R!&B?HC2!YnnZwYdY[\Yl2!

[_2! Carrasco D.! "B:! BH=9<9O@B:! S9O9GE<>pB<! ?B! S>:=9D>B! A?@<>AB! R! ?B!><T9DOBA>J<2!,>BD>9!/;C>A9!CE!Z^!CE!BQD>?!CE!]^^]2!

[[2! Vaugan D.!(T=B?O9?9G@B!1E<EDB?2!Y^!EC!/Ee>A9d!%?!OB<HB?!O9CED<9!&2#2w!Ynlkw!Y_\[Y2!

[j2! Mavroforou A, Michalodimitrakis E.! 'SR:>A>B<:é! ?>BQ>?>=R! ><!9NS=SB?O99GR!OB?NDBA=>AE2!#A=B!(NS SB?O9?!&AB<C2!]^^ZwlY!X_`dZ]Y\[2!

[k2! Real Academia de la Lengua2!,>AA>9<BD>9!CE!?B!"E<GHB!%:NBh9?B2!]]!EC!/BCD>Cd!%:NB:B!6B?NEw!]^^Y2!

[l2! Lizarraga Bonelli E.!%?!A9<:E<=>O>E<=9! ><T9DOBC92!%<d!$E:N9<:BQ>?>CBC!6>V>?!R!'E<B?!CE?!/;C>A92!/BCD>C!69?EG>9!(T>A>B?!CE!/EC>A9:w!Ynnnd][k\]n^2!

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Y^j2! Soto Nieto F.! ,Bh9:! CED>VBC9:! CE! <EG?>GE<A>B! O;C>AB2! .E<CE<A>B!ND9GDE:>VB! SBA>B! E?! E:=BQ?EA>O>E<=9! CE! H<! :>:=EOB! CE! QBDEO9:2! "B! "ER2!Ynn[wZkkZdY\n2!

Y^k2! Menéndez de Lucas JA.! 6D@=>AB! A9<:=DHA=>VB! B! ?B:! DEA>E<=E:!O9C>T>ABA>9<E:! CE?! QBDEO9! NBDB! ?B! VB?9DBA>J<! CE! ?B:! :EAHE?B:! CE! ?9:!BAA>CE<=E:!CE!=DUT>A92!2!&=HC>HO!(NS=SB?O9?9G>AHO2!]^^_wYd_n\[Y2!

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Y^n2!!!The Age-related Eye Diseases Study Group2#!DB<C9O>pEC7!N?BAEQ9\A9<=D9??EC7!A?@<>AB?!=D>B?!9T!S>GS\C9:E!:HNN?EOE<=B=>9<!z>=S!V>=BO><:!6!B<C!%7! QE=B! ABD9=E<E7! B<C! p><A! T9D! BGE\DE?B=EC! OBAH?BD! CEGE<EDB=>9<! B<C!V>:>9<!?9::2!#$%,&!$EN9D=!)92!l2!#DAS!(NS=SB?O9?2!]^^YwYYndY_Yk\Y_Zj2!

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YYY2! Treatment age-related macular degeneration with photodynamic therapy (TAP) study group.! 'S9=9CR<BO>A! =SEDBNR!9T! :HQT9VEB?! AS9D9>CEB?! <E9VB:AH?BD>pB=>9<! ><! BGE\DE?B=EC! OBAH?BD!CEGE<EDB=>9<!z>=S!VED=EN9DT>D><d!=z9\REBD!DE:H?=:!9T!]!DB<C9O>pEC!A?><>AB?!=D>B?\!.#'!DEN9D=:!]2!2!#DAS!(NS=SB?O9?2!]^^YwYYndYnl\]^k2!

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YYZ2! Bueno J, Rodriguez M, García I, Zato MA.!)HEV9:!=DB=BO>E<=9:!NBDB!?B!CEGE<EDBA>J<!OBAH?BD!B:9A>BCB!B!?B!ECBC2!&=HC>HO!(NS=SB?O9?9G>AHO2!]^^[wgg+++X_`d]YY\]Yj2!

YY_2! Miller JW, Adamis AP, Shima DT, y, cols.! KB:AH?BD! E<C9=SE?>B?!GD9z=S! TBA=9DsVB:AH?BD! NEDOEBQ>?>=R! TBA=9D! >:! =EON9DB??R! B<C! :NB=>B??R!A9DE?B=EC! z>=S! 9AH?BD! B<G>9GE<E:>:! ><! B! ND>OB=E! O9CE?2! #O! 8! 'B=S9?2!Ynn_wY_[d[k_\[l_2!

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YYj2! Gragoudas E S, Adamis A P, Cunnigham ET, Freison M, Guyer D R.!'EGBN=B<>Q!T9D!<E9VB:AH?BD!BGE\DE?B=EC!OBAH?BD!CEGE<EDB=>9<2!)!%<G?!8!/EC2!]^^_wZ[Yd]l^[\]lYj2!

YYk2! Michels S, Rosenfeld P J, Puliafito C A, y, Cols.! &R:=EO>A!QEVBA>pHOBQ! X#VB:=><`! =SEDBNR! T9D! <E9VB:AH?BD! BGE\DE?B=EC! OBAH?BD!CEGE<EDB=>9<!=zE?VE\zEE{:!DE:H?=:!9T!B<!H<A9<=D9??EC!9NE<\?BQE?!A?><>AB?!:=HCR2!(NS=SB?O9?9GR2!]^^[wYY]Xj`dY^Z[\Y^_k2!

YYl2! Ilustre Colegio Oficial de Médicos de Madrid2! #<HBD>9! 69?EG>B?!]^^^2!]^^^wV9?2!++!ABN=2!]|dYY[Z\YYl]2!

YYn2! Real Decreto 223/2004! CE! j! CE! TEQDED97! N9D! E?! PHE! :E! DEGH?B<! ?9:!E<:BR9:! A?@<>A9:! A9<! OEC>ABOE<=9:2! *(%! <|! ZZ! CE! ]k! CE! TEQDED9! CE!]^^_dZ][2!

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INSTITUTO DE CIENCIAS VISUALES C/ ANA TERESA, 24 – 28023 - MADRID

ANEXO MODELOS DE DOCUMENTOS DE CONSENTIMIENTO INFORMADO (*)

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DOCUMENTO !INSTITUTO DE CIENCIAS VISUALES C/ ANA TERESA, 24 – 28023 - MADRID

DOCUMENTO DE

CONSENTIMIENTO INFORMADO DE CIRUGÍA OCULAR

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A).- LAS CARACTERÍSTICAS DE LA INTERVENCIÓN QUIRÚRGICA:

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NBDB!A9<:EGH>D!:H!9QeE=>V9!PHE!E:!ooooooooooooooooooooooooooooooooooooooooooooooooo!

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B).- LOS RIESGOS Y COMPLICACIONES TÍPICAS:

#H<PHE!A9<!E:=E!=>N9!CE!><=EDVE<A>9<E:!SBQ>=HB?OE<=E!:E!A9<:>GHE!E?!9QeE=>V9!NED:EGH>C97!R!N9D!

E:9!?E!ND9N9<EO9:!:H!DEB?>pBA>J<7!E:=U<!CE:AD>=B:!E<!?B:!NHQ?>ABA>9<E:!A>E<=@T>AB:!H<B!:ED>E!CE!

A9ON?>ABA>9<E:! =@N>AB:! CE! E:=B! =;A<>AB2! #T9D=H<BCBOE<=E! :E! ND9CHAE<! CE! O9C9! OHR!

EbAENA>9<B?7!NED9!PHE!H:=EC!CEQE!A9<9AED!R!B:HO>D2!"B:!OU:!>ON9D=B<=E:!:9<d!

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??EGBD!B!A9OND9OE=ED!?B!TH<A>J<!9!?B!><=EGD>CBC!B<B=JO>AB!9AH?BD2!

C).- LOS RIESGOS PARTICULARES:

#CEOU:! CE! E:=B:! A9ON?>ABA>9<E:! =@N>AB:! R! ?B:! ND9N>B:! CE?! ND9AEC>O>E<=9! B<E:=;:>A97! PHE!OE!

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D).- LAS CONSECUENCIAS RELEVANTES PARA LA SALUD:

&E! OE! SB! EbN?>ABC9! PHE! E:=E! =>N9! CE! ><=EDVE<A>J<! PH>DaDG>AB! >ON?>AB! SBQ>=HB?OE<=E!

DENEDAH:>9<E:!:9QDE!O>!:B?HC!A9O9!:9<d!

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E).- OTROS ASPECTOS GENERERALES, COMO SON:

rHE! SE! :>C9! BCVED=>C9! CE! ?B! N9:>Q?E! NBD=>A>NBA>J<! E<! ND9REA=9:! C9AE<=E:! 9! CE!

><VE:=>GBA>J<7!PHE!E<!<><Ga<!AB:9!A9ON9D=BDU<!H<!D>E:G9!BC>A>9<B?2

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!'9D!?9!=B<=9!DECLARO:

1º. rHE!he sido informado con suficiente anticipación!B?!BA=9!PH>DaDG>A9!A9O9!NBDB!

N9CED! A9ONDE<CED7! :9NE:BD! R!OEC>=BD! =9C9:! E:=9:! B:NEA=9:7! NHC>E<C9! N?B<=EBD! B! ?9:!

O;C>A9:!?B:!CHCB:!9!NDEGH<=B:!PHE!SE!A9<:>CEDBC9!9N9D=H<B:2

2º. rHE! :9R! N?E<BOE<=E! A9<:A>E<=E! CE! PHE! OE! V9R! B! :9OE=ED! B! H<B! ><=EDVE<A>J<!

PH>DaDG>AB7! R! A9O9! =B?7! no existen garantías absolutas de éxito7! B:HO>E<C9! E?!

D>E:G9!CE!?B:!EVE<=HB?E:!A9ON?>ABA>9<E:!><SEDE<=E:!B!C>ASB!=;A<>AB!R!CE!?B:!PHE!SE!:>C9!

A9<VE<>E<=EOE<=E!><T9DOBC92

3º. rHE! SE! A9ONDE<C>C9! NEDTEA=BOE<=E! ?B! ><T9DOBA>J<! DEA>Q>CB! R! libremente doy mi

consentimiento! B! E:=E! EPH>N9! CE! TBAH?=B=>V9:! NBDB! PHE!OE! DEB?>AE<! ?B! ><=EDVE<A>J<!

CE:AD>=B2

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!

DINSTITUTO DE CIENCIAS VISUALES C/ ANA TERESA, 24 – 28023 - MADRID OCUMENTO !

DOCUMENTO DE

CONSENTIMIENTO INFORMADO (Cirugía de traumatismo del globo ocular)


CE!:H!DENDE:E<=B<=E!?EGB?7!A9<!,)+!<|ooooooooooooo7!OB<>T>E:=9!SBQED!:>C9!><T9DOBC9!N9D!E?!

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PH>DaDG>ABOE<=E! ?B:! ?E:>9<E:!ND9CHA>CB:7!RB!PHE! ?B!EbN9:>A>J<!CE?!A9<=E<>C9!9AH?BD!A9<CHAE!B!

<EAD9:>:! R! GDBVE:! ><TEAA>9<E:7! CE! <ETB:=B:! A9<:EAHE<A>B:! NBDB! E?! 9e97! NHC>E<C9! 9AB:>9<BD! ?B!

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%?! 9QeE=>V9! CE! ?B! ><=EDVE<A>J<!NDEV>:=B! E:! ?B! DENBDBA>J<!CE! ?B:! E:=DHA=HDB:! CBhBCB:7!

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?B!A>DHG@B!ND9QBQ?E!PHE!DEPH>EDE!O>!AB:9!R!PHE!<9!Eb>:=E<!B?=ED<B=>VB:!<9!PH>DaDG>AB:7!RB!PHE!?B!

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?9:!NUDNBC9:7!E=AM`!N9D!E<A9<=DBD:E!E<!OB?!E:=BC92!

'HECE<! :HDG>D! complicaciones intraoperatorias! A9O9! :B<GDBC9! CE! B?GH<B:!

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5<B!VEp!DEB?>pBCB!?B!><=EDVE<A>J<!NHECE<!9AHDD>D!complicaciones postoperatorias!

A9O9! ><TEAA>9<E:7! ><T?BOBA>9<E:! CE! E:=E! 9e9! E! ><A?H:9! E<! AB:9:! OHR! EbAENA>9<B?E:! CE?!

A9<=DB?B=EDB?! X9T=B?O@B! :>ONU=>AB`7! ND9?>TEDBA>9<E:! R! SEO9DDBG>B:! V@=DE9\DE=><>B<B:7!

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E?!G?BHA9OB!N9:=DBHOU=>A92!,EQ>C9!B!E:=B:!H!9=DB:!A9ON?>ABA>9<E:!PHE!NHC>EDB<!:HDG>D!NHECE!

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=DB<:N?B<=E! A9D<EB?7M`2! %?! ND9<J:=>A9! N9D! ?9! =B<=9! E:! ><A>ED=97! RB! PHE! <9! Eb>:=E! N9:>Q>?>CBC!

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>ON?B<=E!CE!H<B!NDJ=E:>:2!







D).- OTROS ASPECTOS GENERERALES, COMO SON:








'9D!?9!=B<=9!DECLARO:










CE:AD>=B2


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!

INSTITUTO DE CIENCIAS VISUALES C/ ANA TERESA, 24 – 28023 - MADRID !!

!DOCUMENTO DE

CONSENTIMIENTO INFORMADO (Intervención de Cataratas)


CE!:H!DENDE:E<=B<=E!?EGB?7!A9<!,)+!<|ooooooooooooooo7!OB<>T>E:=9!SBQED!:>C9!><T9DOBC9!N9D!

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!

A).- LAS CARACTERÍSTICAS DE LA INTERVENCIÓN DE CATARATAS:

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AD>:=B?><9! 9NBA>T>ABC9! SBQ>=HB?OE<=E! ! OEC>B<=E! H?=DB:9<>C9:! XTBA9EOH?:>T>ABA>J<`7! ><=E<=B<C9!

NDE:EDVBD!:H!AUN:H?B!N9:=ED>9D7!NBDB!B?9eBD!E<!:H! ><=ED>9D!H<B! ?E<=E! ><=DB9AH?BD! AB?AH?BCB!NBDB!

9Q=E<ED!?B!OEe9D!V>:>J<!N9:>Q?E2!

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N9D! ?9! PHE! <9! N9CDU! DEAHNEDBD:E! ?B! V>:>J<7! B! NE:BD! CE! SBQED:E! DEB?>pBC9! ?B! ><=EDVE<A>J<!

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EbAENA>9<B?7!NED9!PHE!H:=EC!CEQE!A9<9AED!R!B:HO>D2!"B:!OU:!>ON9D=B<=E:!:9<d!

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Y2 "B:!propias de la anestesia7!PHE!SBQ>=HB?OE<=E!:E!DEB?>pB!OEC>B<=E!G9=B:!X=JN>AB`7!

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]2 69ON?>ABA>9<E:! intraoperatorias! XSEO9DDBG>B:7! NEDT9DBA>9<E:! CE! E:=DHA=HDB:7! SED<>B!

CE! >D>:7! D9=HDB! ABN:H?BD! PHE!N9CD@B! >ONEC>D! >ON?B<=BD! ?B! ?E<=E!9! =E<ED! PHE!SBAED?9! E<!

9=D9! ?HGBD7! ?HbBA>J<! CE?! <aA?E9! PHE! DEPH>EDB! DEB?>pBD! H<B! V>=DEA=9O@B7! M`2! 5<B!

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Z2 69ON?>ABA>9<E:! postoperatorias7! A9O9! ><T?BOBA>9<E:! 9! ><TEAA>9<E:7! B?GH<B:! OHR!

GDBVE:! BH<PHE! EbAENA>9<B?E:! XZè`7! A9O9! ?B! E<C9T=B?O>=>:! PHE! NHECE! 9AB:>9<BD! ?B!

N;DC>CB! CE?! 9e92! (=DB:! :9<! CES>:AE<A>B:! CE! ?B! :H=HDB7! CE:N?BpBO>E<=9:! CE! ?B! ?E<=E7!

CETEA=9:! DETDBA=>V9:! DE:>CHB?E:7! S>NED=E<:>J<! 9AH?BD7! CE:NDE<C>O>E<=9:! CE! DE=><B! 9!

A9D>9CE9:7! ECEOB:!OBAH?BDE:7! SEO9DDBG>B:! ><=DB9AH?BDE:7! B=B?BO>B7! ECEOB:! A9D<EB?E:!

PHE! NHECE<! ??EGBD! B! 9AB:>9<BD! CE:A9ONE<:BA>9<E:! E<C9=E?>B?E:! PHE! DEPH>EDB<! H<!

=DB<:N?B<=E!A9D<EB?!E<!?9:!AB:9:!OU:!EbAENA>9<B?E:!R!CE!NE9D!EV9?HA>J<2!(NBA>T>ABA>J<!

CE!?B!AUN:H?B!N9:=ED>9D!PHE!DEPH>EDB!=DB=BO>E<=9!OEC>B<=E!?U:ED7!E=AM!

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XA9O9!N9D! EeEON?97! EON?E9!CE! ?E<=E:!OH?=>T9AB?E:!9! BA9O9CB=>VB:! PHE!NHC>EDB<! BTEA=BD! B! ?B!

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NEDT9DBA>9<E:! 9AH?BDE:7! AB=BDB=B:! S>NEDOBCHDB:! 9! E:NEA>B?OE<=E! A9ON?>ABCB:7! AB=BDB=B:!

A9<G;<>=B:7!Q>9OE=D@B:!A9ON?EeB:7!E=AM`!



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?9! PHE! :EDU! <EAE:BD>9! EON?EBD! H<B! GBTB! NBDB! ?EED2! &>! ?B! ?E<=E! >ON?B<=BCB! E:! OH?=>T9AB?! 9!

BA9O9CB=>VB7!:E!><=E<=B!C>:O><H>D!?B!CENE<CE<A>B!CE!?B!GBTB7!NED9!<9!:E!NHECE!GBDB<=>pBD!PHE!

<9!:>GB<!:>E<C9!<EAE:BD>9!:H!EON?E92!iBQ>=HB?OE<=E!?B!V>:>J<!CE!OBR9D!AB?>CBC!:E!A9<:>GHE!A9<!

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:H:!BA=>V>CBCE:!A9=>C>B<B:!:><!<EAE:>CBC!CE!E??B:2!

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rHE! SE! :>C9! BCVED=>C9! CE! ?B! N9:>Q?E! participación en proyectos docentes o de

investigación7!PHE!E<!<><Ga<!AB:9!A9ON9D=BDU<!H<!D>E:G9!BC>A>9<B?2

rHE! puedo revocar este consentimiento! E<! AHB?PH>ED! O9OE<=9! NDEV>9! B! ?B!

><=EDVE<A>J<2

rHE!:E!DE:NE=BDU!R!SBDU!A9<:=BD!O>!voluntad de no ser informado7!E<!AB:9!CE!PHE!

E<!B?Ga<!O9OE<=9!B:@!?B!EbNDE:E2

rHE! E:=E! C9AHOE<=9! E:AD>=9! =>E<E! carácter complementario! B! ?B! ><T9DOBA>J<!

E:E<A>B?!CBCB!VEDQB?OE<=E2

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consentimiento! B! E:=E! EPH>N9! CE?! +)6+K+! NBDB! PHE! OE! DEB?>AE<! ?B! ><=EDVE<A>J<!

CE:AD>=B2

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Z_Y!

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DOCUMENTO DE

CONSENTIMIENTO INFORMADO (Extracción de cristalino transparente)




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A).- LA CIRUGÍA DEL CRISTALINO TRASPARENTE:

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DOCUMENTO DE CONSENTIMIENTO INFORMADO

(Cirugía refractiva mediante LASER EXCÍMERO Y LASIK)




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A).- LAS INTERVENCIONES DE LASIK:

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N?B<9!CE!?B!DE=><B7!E<!?B!S>NEDOE=D9N@B!N9D!CE=DU:!R!E<!E?!B:=>GOB=>:O9!SBR!C9:!NH<=9:!T9AB?E:2!

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AHDVB=HDB!:E!BHOE<=E!9!C>:O><HRB7!?9!<EAE:BD>9!NBDB!VBD>BD!E?!N9CED!C>JN=D>A97!CE!T9DOB!PHE!:E!

A9DD>eB!EbBA=BOE<=E!E?!CETEA=9!DETDBA=>V9!CE?!NBA>E<=E2!

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D).- OTROS ASPECTOS GENERERALES:


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(Cirugía refractiva lentes fáquicas)





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A).- LA CIRUGÍA REFRACTIVA MEDIANTE LENTES FAQUICAS:

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C>9N=D@B:`! E<! NBA>E<=E:! eJVE<E:! XE<=DE! ]^! R! _^! Bh9:`! PHE! Ba<! A9<:EDVB<! :H! ABNBA>CBC! CE!

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CENE<CE<A>B!CE!?B!GBTB2!

%:=B! A>DHG@B! E:! ><=DB9AH?BD7! B! C>TEDE<A>B! CE?! "#&+y7! E:! CEA>D! SBR! PHE! BQD>D! E?! 9e9!

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AD>:=B?><9!=DB<:NBDE<=E7!se mantiene la acomodación y se evita el riesgo

de desprendimiento de retina!asociado!B!E:=B:! ><=EDVE<A>9<E:2!&>!E<!E?!

TH=HD9! CE:BDD9??BDB! H<B! AB=BDB=B! R! THEDB! <EAE:BD>9! Eb=DBED?B7! :E! DE=>DBD@B! ?B!

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<><GH<B!><=EDVE<A>J<!CE!A>DHG@B!DETDBA=>VB!NHECE!EV>=BD7!N9D!?9!PHE!deberá seguir revisiones

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5<B!CE!?B:!VE<=BeB:!CE!E:=B:!=;A<>AB:!E:!PHE!:9<!E<!=E9D@B!reversibles7!RB!PHE!:E!

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(Iridotomía o capsulotomía con láser Neodymio Yag)




><=EDVE<A>J<!B!?B!PHE!V9R!B!:9OE=EDOE7!A9O9!E:!?EGB?OE<=E!NDEAEN=>V9!XBD=2!_7!l!R!Y^!CE!"ER!

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A).- EL LÁSER YAG PARA REALIZAR IRIDOTOMÍAS O CÁPSULOTOMÍAS:

%?! ?U:ED! qBG! =>E<E! ?B! ND9N>ECBC! CE! N9CED! A9D=BD! 9! D9ONED! OEOQDB<B:7! PHE! :E!

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A9<:H?=B!R!A9<!B<E:=E:>B!OEC>B<=E!H<B:!G9=B:!CE!A9?>D>92!)9!SBR!<EAE:>CBC!CE!S9:N>=B?>pBA>J<!9!

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A9ON?>ABA>9<E:! E:! EbAENA>9<B?7! NED9! E<! B?GH<9:! AB:9:! NHECE<! DEPHED>D! <HEVB:!

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(Intervención de estrabismo mediante cirugía muscular)




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A).- LA CIRUGÍA DEL ESTRABISMO:

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consentimiento!B!E:=E!EPH>N9!CE?!+)6+K+!NBDB!PHE!!DEB?>AE<!?B!><=EDVE<A>J<!CE:AD>=B2

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(Intervención de estrabismo mediante toxina botulínica)



E?! ,Ds,DB2ooooooooooooooooooooooooooo! ! CE! ?9:! :>GH>E<=E:! B:NEA=9:7! A9O9! E:! ?EGB?OE<=E!

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A).- LA INYECCIÓN DE TOXINA BOTULÍNICA:

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NEDO>=B! CE:BDD9??BD! H<B! A9DDEA=B! TH<A>J<! V>:HB?! CHDB<=E! ?B! ND>OEDB! ><TB<A>B! 9! C>:O><H>D! ?B!

C>N?9N>B!E<!?9:!BCH?=9:2!!

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CE!THEDpB:!OH:AH?BDE:!PHE7!E<!?B!OBR9D@B!CE!?9:!AB:9:7!:9?HA>9<BDU!E?!ND9Q?EOB2!

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consentimiento!B!E:=E!EPH>N9!CE?!+)6+K+!NBDB!PHE!!DEB?>AE<!?B!><=EDVE<A>J<!CE:AD>=B2

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(TRABECULECTOMÍA)




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A).- LA TRABECULECTOMÍA:

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%?! objetivo! CE! ?B! ><=EDVE<A>J<! E:! A9<=D9?BD! ?B! =E<:>J<! ><=DB9AH?BD! NBDB! EV>=BD! ?B!

ND9GDE:>J<! CE! ?B! E<TEDOECBC! XG?BHA9OB`7! NED9! <9! N9CDEO9:! DE:=BQ?EAED! E?! ABON9! V>:HB?! RB!

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69<:>CEDBO9:! PHE! E<! :H! AB:9! E:=E! =>N9! CE! ><=EDVE<A>J<! E:! ?B! OU:! ><C>ABCB7! E?!

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9e97!E<!?9:!AB:9:!OU:!EbAENA>9<B?E:!R!N9A9!BT9D=H<BC9:2!

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><A?H>D! H<B! OBR9D! VH?<EDBQ>?>CBC! NBDB! ?B:! ><TEAA>9<E:! 9AH?BDE:7! PHE! N9CDU<!

A9ON?>ABD:E! B?! E:=BQ?EAED:E! H<B! A9OH<>ABA>J<! V>D=HB?! E<=DE! E?! Eb=ED>9D! R! E?!

><=ED>9D! CE?! 9e92! &E! ND9CHAE! BNBD>A>J<! CE! AB=BDB=B:! 9! ND9GDE:>J<! CE! ?B:! RB!

Eb>:=E<=E:! E<! H<! =EDA>9! CE! ?9:! AB:9:2! %<! B?GH<9:! AB:9:7! B! NE:BD! CE! ?B!

><=EDVE<A>J<! <9! :E! NHECE! A9<=D9?BD! ?B! S>NED=E<:>J<! 9AH?BD7! N9D! ?9! PHE! E:!

<EAE:BD>9!EON?EBD!=DB=BO>E<=9!O;C>A9!9!DEB?>pBD!<HEVB:!><=EDVE<A>9<E:2!

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(Cirugía del glaucoma mediante implantes valvulares )





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A).- LOS IMPLANTES VALVULARES:

%:=E!=>N9!CE!><=EDVE<A>9<E:!A9<:>:=E<!E<!A9?9ABD!H<!=HQ9!CE!CDE<BeE!VB?VH?BC97!E<!E?!

9e97!PHE!NEDO>=B!CDE<BD!E?!EbAE:9!CE?!?@PH>C9!><=DB9AH?BD!XSHO9D!BAH9:9`!NBDB!B:@!A9<=D9?BD!:H!

S>NED=E<:>J<2!!

"E!ND9N9<EO9:!E:=E! =>N9!CE!A>DHG@B7!B?!SBQED! TDBAB:BC97!E<!:H!AB:97!E?! =DB=BO>E<=9!

O;C>A9!R!E?!DE:=9!CE!?B:!9NA>9<E:!PH>DaDG>AB:7!OE<9:!BGDE:>VB:2!%:!CEA>D7!E:=E!=>N9!CE!A>DHG@B!:E!

EON?EB!SBQ>=HB?OE<=E!E<!G?BHA9OB:!CE!=>N9!DETDBA=BD>97!N9D!?9!PHE!:H!9QeE=>V9!VB!B!:ED!EV>=BD!E?!

C9?9D! 9! A9<:EDVBD! ?B! V>:>J<! PHE! =>E<E7! E<! E?! OEe9D! CE! ?9:! AB:9:7! NED9! CE:GDBA>BCBOE<=E! <9!

N9CEO9:!OEe9DBD?B2!

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69<:>CEDBO9:! PHE! E:=E! =>N9! CE! A>DHG@B! VB! B! :ED! QE<ET>A>9:B! NBDB! H:=EC7! NED9! CEQE!

:BQED!PHE!!NHECE<!ND9CHA>D:E!A9ON?>ABA>9<E:!PHE!H:=EC!CEQE!A9<9AED!R!BAEN=BDd!

"9:! ND9N>9:! CE! ?B! anestesia! =JN>AB7! DE=D9QH?QBD! 9! GE<EDB?7! PHE! RB! ?E!

A9OE<=BDU!E?!B<E:=E:>:=B!R!PHE!A9O9!E<!AHB?PH>ED!9=D9!=>N9!CE! ><=EDVE<A>J<!

PH>DaDG>AB!N9CD@B<!><A?H>D!H<B!NBDBCB!ABDC>9DDE:N>DB=9D>B!>DDEVED:>Q?E2!

69ON?>ABA>9<E:! intraoperatorias A9O9! SEO9DDBG>B:7! CE:GBDD9:! 9! ><A?H:9!

D9=HDB:! CE?! A9?GBe9! A9<eH<=>VB?! 9! E:A?EDB?7! NEDT9DBA>J<! CE! E:=DHA=HDB:!

><=DB9AH?BDE:7! SED<>B:! CE! >D>:7! ND9?BN:9! V@=DE97! S>N9=9<@B:! QDH:AB:! R!

CE:NDE<C>O>E<=9!A9D9>CE97!E<=DE!9=DB:2!!

69ON?>ABA>9<E:! postoperatorias! A9O9! SEO9DDBG>B! CE! AUOBDB! B<=ED>9D!

XS>NSEOB`!9!BN?B<BO>E<=9!XB=B?BO>B`7!><T?BOBA>J<!9!><TEAA>J<!?EVE7!O9CEDBCB!

9! GDBVE! XE<C9T=B?O>=>:`! CE?! 9e92! 'D9GDE:>J<! CE! ?B! N;DC>CB! CE! ABON9! V>:HB?2!

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9=DB:2!


OHR! GDBVE:! A9O9! ?B! SEO9DDBG>B! EbNH?:>VB! 9! ?B! E<C9T=B?O>=>:7! 9AB:>9<B<C9!

>ON9D=B<=E:!:EAHE?B:!V>:HB?E:!E!><A?H:9!?B!N;DC>CB!B<B=JO>AB!9!TH<A>9<B?!CE?!

9e92!

"B:!consecuencias!relevantes para mi salud!CE!E:=B!><=EDVE<A>J<!VB<!B!

><A?H>D! H<B! OBR9D! VH?<EDBQ>?>CBC! NBDB! ?B:! ><TEAA>9<E:! 9AH?BDE:7! PHE! N9CDU<!

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><=ED>9D!CE?!9e92!!

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(TRASPLANTE DE CÓRNEA)




rHEDB=9N?U:=>B!B!?B!PHE!V9R!B!:9OE=EDOE7!A9O9!E:!?EGB?OE<=E!NDEAEN=>V9!XBD=2!_7!l7!n!R!Y^!CE!

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A).- LA QUERATOPLÁSTIA O TRANSPLANTE CORNEAL:

"B! queratoplástia! NHECE! E:=BD! ><C>ABCB! E<! NBA>E<=E:! PHE! NDE:E<=B<! H<B!

9NBA>T>ABA>J<!9!CET9DO>CBC!CE!?B!AJD<EB!PHE!DECHAE!CE!T9DOB!OHR!:>G<>T>AB=>VB!?B!V>:>J<7!9!E<!

BPHE??9:!AB:9:!E<!?9:!PHE!Eb>:=E!D>E:G9!CE!NEDT9DBA>J<!9AH?BD2!%:!H<B!><=EDVE<A>J<!consistente!

E<! :H:=>=H>D! ?B! AJD<EB! CBhBCB! CE?! NBA>E<=E7! N9D! H<B! :B<B! R! =DB<:NBDE<=E! 9Q=E<>CB! CE! H<!

C9<B<=E2! 'BDB! EV>=BD! E?! DEASBp9! CE! ?B! AJD<EB! =DB<:N?B<=BCB! E:! NDEA>:9! :EGH>D! H<! =DB=BO>E<=9!

><OH<9CENDE:9D! OEC>B<=E! A9?>D>9:! R! NB:=>??B:! CHDB<=E! OE:E:! R! E<! AB:9:! OU:! EbAENA>9<B?E:!

CHDB<=E!Bh9:2!

%?! objetivo! CE! ?B! ><=EDVE<A>J<! E:! OEe9DBD! ?B! BGHCEpB! V>:HB?! E<! TH<A>J<! CE! ?B!

EV9?HA>J<!N9:=9NEDB=9D>B!R!CE?!E:=BC9!CE?! DE:=9!CE! ?B:!E:=DHA=HDB:!9AH?BDE:!R!E<! ?9:!AB:9:!CE!

D>E:G9!CE!NEDT9DBA>J<!9AH?BD!EV>=BD!PHE!E:=B!:E!ND9CHpAB2!

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=DB<:NBDE<A>B!9!NDEVE<>D!?B!NEDT9DBA>J<!A9D<EB?2!

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69ON?>ABA>9<E:! intraoperatorias A9O9! SEO9DDBG>B:7! NEDT9DBA>J<! CE!

E:=DHA=HDB:! ><=DB9AH?BDE:7!SED<>B:!CE! >D>:7!ND9?BN:9!V@=DE97!S>N9=9<@B:!QDH:AB:!

R!CE:NDE<C>O>E<=9!A9D9>CE97!E<=DE!9=DB:2!!

69ON?>ABA>9<E:! postoperatorias! A9O9! SEO9DDBG>B:! ><=DB9AH?BDE:7!

><T?BOBA>J<! 9! ><TEAA>J<! ?EVE7! O9CEDBCB! 9! GDBVE! XE<C9T=B?O>=>:`! CE?! 9e92!

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DEASBp9! CE! ?B! AJD<EB! =DB<:N?B<=BCB7! E<! ?B!OBR9D@B! CE! ?9:! AB:9:! CE<=D9! CE?!

ND>OED!Bh92!&ENBDBA>J<!CE!?9:!Q9DCE:!CE!?B!SED>CB!9!N;DC>CB!CE!B?Ga<!NH<=9!

PHE!9Q?>GBD@B!B!:H=HDBD!CE!<HEV9!E<!PH>DJTB<92!,E:NDE<C>O>E<=9:!A9D9>CE9:!

Rs9!DE=><>B<9:2!/BAH?9NB=>B:!R!C>N?9N>B7!E<=DE!9=DB:2!


OHR!GDBVE:!A9O9! ?B!SEO9DDBG>B!EbNH?:>VB!9! ?B!E<C9T=B?O>=>:2!'HECE<!SBAED!

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B?! =DB=BO>E<=9! ><OH<9CENDE:9D! NBDB! EV>=BD! E?! DEASBp9! VB<! B! :HN9<ED! H<B!

:ED>E! CE!posibles efectos secundarios! A9O9! :9<! CE:BDD9??9! CE! AB=BDB=B7!

BHOE<=9! CE! ?B! NDE:>J<! ><=DB9AH?BD7! 9:=E9N9D9:>:7! =9b>A>CBC! GB:=D9><=E:=><B?7!

S>NED=E<:>J<! BD=ED>B?7! C>BQE=E:7! BTEA=BA>J<! CE! ?B! TH<A>J<! SENU=>AB! Rs9! DE<B?7!

BNBD>A>J<!9!DEBGHC>pBA>J<!CE!=DB:=9D<9:!CENDE:>V9:7!E<=DE!9=D9:2!

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rHE! CHDB<=E! ?B! A>DHG@B! NHECE<! :HDG>D! circunstancias imprevisibles que pueden

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(DESPRENDIMIENTO DE RETINA)





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A).- LA CIRUGÍA DEL DESPRENDIMIENTO DE RETINA MEDIANTE INDENTACIÓN

ESCLERAL O NEUMORRETINOPEXIA:

%?! desprendimiento de la retina! E:! H<B! GDBVE! NB=9?9G@B! PHE! A9<:>:=E! E<! ?B!

:ENBDBA>J<! CE! E:=B! ABNB! ><=ED<B! CE?! 9e9! CE! ?B:! ABNB:! :HQRBAE<=E:7! CE! T9DOB! PHE! :>! <9! ?B!

DEN9<EO9:!NDEA9pOE<=E!B!:H!N9:>A>J<!9D>G><B?!R! =DB=BO9:! ?B! ABH:B!PHE! ?B!SB!ND9CHA>C9! XH<B!

D9=HDB! CE! ?B! DE=><B! 9! H<B! =DBAA>J<! CE?! V@=DE9`! :E! ND9CHA>DU! ?B! NEDC>CB! TH<A>9<B?! V>:HB?! E<! ?B!

><OE<:B!OBR9D@B! CE! ?9:! AB:9:7! ?HEG9! <9! SBR! 9=DB!alternativa! PHE! E?! =DB=BO>E<=9! PH>DaDG>A9!

X<EHO9DDE=><9NEb>B7!A9?9ABA>J<!CE!>ON?B<=E:!E:A?UDB?E:!9!V>=DEA=9O@B`!:EGa<!><C>PHE!E?!=>N9!CE!

CE:NDE<C>O>E<=92!

%?!objetivo!CE!?B!><=EDVE<A>J<!E:!DEN9<ED!?B!DE=><B!B!:H!N9:>A>J<!9D>G><B?!EONHeB<C9!

CE!CE<=D9!B!THEDB!OEC>B<=E!GB:E:!EbNB<:>V9:!><REA=BC9:!E<!E?!><=ED>9D!CE?!G?9Q9!9AH?BD7!9!Q>E<!

EONHeB<C9! ?B! DE=><B! SBA>B! CE<=D9! CE?! 9e97!OEC>B<=E! ?B! A9?9ABA>J<! CE! >ON?B<=E:! CE! :>?>A9<B! 9!

AEDA?BeE:!Xv!A><=HDJ<!B?DECEC9D!CE?!G?9Q9!9AH?BD`2!#CEOU:!E:!E:E<A>B?!AEDDBD!?B!D9=HDB!DE=><>B<B!

OEC>B<=E!?B!A>AB=D>p!PHE!ND9CHAE!H<B!PHEOBCHDB!A9<!TD@9!9!A9<!?U:ED7!9sR!=DB=BD!?B:!=DBAA>9<E:!

V@=DEB:!OEC>B<=E! ?B!E?>O><BA>J<!CE?!GE?!PHE!DE??E<B!E?! ><=ED>9D!CE?!9e9!A9D=U<C9?9!R!B:N>DU<C9?9!

QBe9!A9<=D9?!O>AD9:AJN>A9!R!:H:=>=HR;<C9?9!N9D!:HED97!GB:E:!EbNB<:>V9:!9!BAE>=E!CE!:>?>A9<B7!E<!

E?! AB:9! CE! ?B! V>=DEA=9O@B2! "B! V>=DEA=9O@B! E:=U! ><C>ABCB! NBDB! =DB=BD! SEO9DDBG>B:! V@=DEB:7!

E<TEDOECBCE:!OBAH?BDE:!R!E<C9T=B?O>=>:2!

"B:! consecuencias sobre mi salud! CE! E:=B:! ><=EDVE<A>9<E:! :9<! >ON9D=B<=E:7! RB!

PHE! B?! :ED! H<B! A>DHG@B!OHR! =DBHOB=>pB<=E! NBDB! E?! 9e9! E:=E! :E! ><T?BOBDU! R! C9?EDU! CHDB<=E! E:!

N9:=9NEDB=9D>92! &>! E?! DE:H?=BC9! CE! ?B! ><=EDVE<A>J<! E:! QHE<97! DEAHNEDBDU! ?B! V>:>J<!

ND9GDE:>VBOE<=E!E<!H<9:!j!B!Y]!OE:E:2!%<!B?GH<9:! AB:9:!E:!<EAE:BD>9!GHBDCBD!H<B!N9:=HDB!

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AHB<C9!:E!EON?EB<!GB:E:!EbNB<:>V9:!9!:>?>A9<B!R!?9!><C>PHE!?B!:>=HBA>J<!CE?!CE:GBDD9!DE=><>B<92!

%<!E?!n^t!CE!?9:!AB:9:7!A9<!?B:!=;A<>AB:!BA=HB?E:!:E!A9<:>GHE!DEBN?>ABD!?B!DE=><B7!NED9!

E<!9AB:>9<E:!E:!<EAE:BD>9!DEB?>pBD!OU:!CE!H<B!><=EDVE<A>J<2!%?!GDBC9!CE!V>:>J<!T><B?!CENE<CEDU!

CE! VBD>9:! TBA=9DE:2! %<! GE<EDB?! :E! DEA9QDBDU! OE<9:! V>:>J<! AHB<C9! ?B! DE=><B! SBRB! E:=BC9!

CE:NDE<C>CB!CHDB<=E!OHAS9!=>EON97!:E!SBRB!BTEA=BC9!?B!OUAH?B!9!Eb>:=B!ADEA>O>E<=9!T>QD9:9!E<!

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NBDB!?B!?EA=HDB!A9O9!NBDB!?B!CEBOH?BA>J<2!,E:GDBA>BCBOE<=E!Eb>:=E<!AB:9:!CE:BT9D=H<BC9:!E<!

?9:! AHB?E:! <9! E:! N9:>Q?E! DEN9<ED! ?B! DE=><B! 9! :HDGE<! A9ON?>ABA>9<E:! PHE! :HN9<E<! ?B! N;DC>CB!

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69ON?>ABA>9<E:! intraoperatorias A9O9! SEO9DDBG>B:7! NEDT9DBA>J<! CE!

E:=DHA=HDB:! ><=DB9AH?BDE:7! S>N9=9<@B:! PHE! 9AB:>9<E<! CE:NDE<C>O>E<=9:!

A9D9>CE9:!9!S>NED=9<@B:!PHE!?E:>9<E<!E?!<EDV>9!JN=>A97!C>:?9ABA>9<E:!CE!?E<=E:!

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N9D!DECE:NDE<C>O>E<=9:!9!D9=HDB:!9AH?=B:!9!CE!<HEVB!BNBD>A>J<!XY^t!CE!?9:!

AB:9:`! 9! CE:BDD9??9! CE!ND9?>TEDBA>9<E:! V>=DE9DE=><>B<B:7! PHE!9AHDDE<! E<=DE! E?!

Y^! R! E?! ]^!t! CE! ?B:! DEBN?>ABA>9<E:! ><>A>B?E:! R! PHE! :HN9<E<! ?B! ABH:B! OU:!

TDEAHE<=E! CE! TDBAB:92! 6HB<C9! SBR! PHE! DE><=EDVE<>D7! E?! ND9<J:=>A9! :E!

E<:9OQDEAE!E<!TH<A>J<!CE?!<aOED9!CE!9NEDBA>9<E:7!A9O9!E:!<B=HDB?2!

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rHE! CHDB<=E! ?B! A>DHG@B! NHECE<! :HDG>D! circunstancias imprevisibles que pueden

obligar a variar la técnica NDEV>:=B2!%:=B:!O9C>T>ABA>9<E:!:E!DEB?>pBDU<!:>!E?!O;C>A9!

A9<:>CEDB!PHE!NHECE<!:ED!QE<ET>A>9:B:!NBDB!O@2

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CE:AD>=B2

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DOCUMENTO DE CONSENTIMIENTO INFORMADO (Examen angiográfico del ojo)



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"B!angiografía!T?H9DE:AE@<>AB!9!A9<!VEDCE!CE!><C9A>B<><B!E:!H<B!NDHEQB!C>BG<J:=>AB!

PHE!<9:!BN9D=B!H<B!><T9DOBA>J<!E:E<A>B?!:9QDE!E?!E:=BC9!A>DAH?B=9D>9!CE!?B!A9D9>CE:!R!DE=><B2!&E!

><REA=B! E?! A9?9DB<=E! E<! H<B! VE<B! CE?! QDBp97! R! :E! DEG>:=DB! T9=9GDUT>ABOE<=E! :H! NB:9! N9D! ?B:!

BD=ED>B:!R!VE<B:!9AH?BDE:2!

%:!<9DOB?!PHE!:E!ND9CHpAB!H<B!A9?9DBA>J<!BOBD>??E<=B!CE!?B!N>E?!R!9D><B!E<!?B:!]_!B!

_l! S9DB:! N9:=ED>9DE:! B! ?B! ><REAA>J<7! NED9! <9! =>E<E! A9<:EAHE<A>B! B?GH<B! :9QDE! ?B! :B?HC! CE?!

NBA>E<=E2!!

%<!B?GH<9:!AB:9:!NHECE<!BNBDEAED!complicaciones!CE!=>N9!leve!PHE!:E!DE:H?=E<!:><!

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moderadas! PHE! E<! B?GH<9:! AB:9:! DEPH>EDE<! =DB=BO>E<=9! X:@<A9NE:! 9! OBDE9:7! EDHNA>9<E:!

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XQD9<A9E:NB:O97! ECEOB! ?BD@<GE9! 9! NH?O9<BD7! A9<VH?:>9<E:7! NBDU?>:>:7! :S9A{7! ><TBD=9! CE!

O>9ABDC>97! PHE! NHECE<! CEeBD! GDBVE:! :EAHE?B:2! %:=U! CE:AD>=B! ?B! OHED=E! CE?! NBA>E<=E! E<!

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$>E:G9:!NED:9<B?E:!9!ND9TE:>9<B?E:doooooooooooooooooooooooooooooooooooooooo!


,%6"#$(!SBQED!:>C9!><T9DOBC9!VEDQB?OE<=E!R!CE!T9DOB!B<=>A>NBCB!B!?B!DEB?>pBA>J<!CE!

E:=B!NDHEQB7! A9<=E:=B<C9! ?B:!CHCB:!N?B<=EBCB:!B?! DE:NEA=97! N9D! ?9!PHE!B:HO9! ?9:! D>E:G9:!CE!

A9ON?>ABA>9<E:!PHE!CE!T9DOB!EbAENA>9<B?!NHECE<!ND9CHA>D:E!R!6()&+%).(!A9<:A>E<=EOE<=E!R!

?>QDEOE<=E!NBDB!:H!DEB?>pBA>J<!N9D!?9:!O;C>A9:!CE?!+)6+K+2!

!

!


!


Zjl!

!



(Terapia Fotodinámica)



E?! ,Ds,DB2ooooooooooooooooooooooooooo! ! CE! ?9:! :>GH>E<=E:! B:NEA=9:7! E<! DE?BA>J<! B?!

=DB=BO>E<=9!B?!PHE!V9R!B!:9OE=EDOE7!A9O9!E:!?EGB?OE<=E!NDEAEN=>V9!XBD=2!_7!l7!n!R!Y^!CE!"ER!

_Ys]^^]`d!

!

LA TERAPIA FOTODINÁMICA:

%?! =DB=BO>E<=9!A9<!Verteporfina!9! =EDBN>B! T9=9C><UO>AB!SB!CEO9:=DBC9!:ED!ET>ABp!E<!

?9:!NBA>E<=E:!A9<!<E9VB:AH?BD>pBA>J<!A9D9>CEB!X)K6`!?9AB?>pBCB!N9D!CEQBe9!CE!?B!OUAH?B!XPHE!E:!

?B! p9<B! OU:! >ON9D=B<=E! CE! ?B! DE=><B7! B?! :ED! ?B! DE:N9<:BQ?E! CE! ?B! V>:>J<! AE<=DB?`! ND9CHA>CB!

A9<:EAH=>VBOE<=E! B! ?B! CEGE<EDBA>J<! OBAH?BD! B:9A>BCB! B! ?B! ECBC! Xv! ,/#%`2! "B! T9DOB!

<E9VB:AH?BD! 9! LSaOECBW! CE! ?B! ,/#%! E:! ?B! ABH:B! OU:! TDEAHE<=E! CE! AEGHEDB! E<! NED:9<B:!

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=;DO>A92! &E! A>EDDB! B:@! =EON9DB?OE<=E! E?! E:ABNE! CE! ?9:! VB:9:! NB=9?JG>A9:! :><! CBhBD! UDEB:! CE!

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H<B!:ED>E!CE!NDEABHA>9<E:7!EV>=B<C9! ?B!EbN9:>A>J<!:><!ND9=EAA>J<!CE! ?B!N>E?!9! ?9:!9e9:!B! ?B! ?Hp!

:9?BD!C>DEA=B!9!B!?B!?Hp!CE!><=ED>9D!QD>??B<=E7!E:NEA>B?OE<=E!?B!?Hp!SB?JGE<B!CHDB<=E!?B:!_l!S9DB:!

:>GH>E<=E:!B?! =DB=BO>E<=92!,EQE!EV>=BD:E7!N9D!EeEON?97! ?B:! ?HAE:!CE!:B?9<E:!CE!QD9<AEBC97! ?9:!

SB?JGE<9:!QD>??B<=E:!CE!AB:B:!R!9T>A><B:!9!?B:!?HAE:!CE!B?=B!N9=E<A>B!CE!?B:!A9<:H?=B:!CE!CE<=>:=B!

9!CE!?9:!PH>DJTB<9:!XN9D!?9!PHE!CEQEDU!BCVED=>D:E!E<!AB:9:!CE!A>DHG@B!CE!HDGE<A>B!RB!PHE!N9CD@B!

ND9CHA>D:E!<EAD9:>:!=>:H?BD!N9D!?B!T9=9:E<:>Q>?>CBC`2!!

%:!A9<VE<>E<=E!CHDB<=E!E:=B:!ND>OEDB:!_l!S9DB:!H:BD!GBTB:!CE!:9?!9:AHDB:7!NDE<CB:!CE!

OB<GB!?BDGB!R!NB<=B?9<E:!?BDG9:!R!NEDOB<EAED!E<!BOQ>E<=E:!A9<!QBe9:!<>VE?E:!CE!>?HO><BA>J<7!

RB!PHE!E??9! A9<=D>QH>DU!B! ><BA=>VBD!E?! TUDOBA9!E<! ?B!N>E?!B! =DBV;:!CE?! T9=9Q?B<PHEBO>E<=92!"B:!

Zjn!

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ADEOB:! :9?BDE:! )(! EV>=B<! DEBAA>9<E:! CE! T9=9:E<:>Q>?>CBC2! )9! SBR! ND9Q?EOB! N9D! O>DBD! ?B!

=E?EV>:>J<2!

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C>HD;=>A9:!=>Bp@C>A9:!R!GD>:E9TH?V><B`2!

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CE!VB:AH?BD>pBA>J<!CE!?9:!VB:9:!DE=><>B<9:!<9DOB?E:!A9<!N9:>Q>?>CBC!CE!H<!CE=ED>9D9!GDBVE!CE!?B!

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%<! B?GH<9:! NBA>E<=E:! NHECE<! ND9CHA>D:E! alteraciones de la visión! CE! ABDUA=ED!

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A9<CHAA>J<!CE!VES@AH?9:!B!O9=9D!9!E?!OB<Ee9!CE!OBPH><BD>B!NE?>GD9:B2!

!

!


rHE! he sido informado con suficiente anticipación! B?! O9OE<=9! CE! BN?>ABA>J<!

A9O9! NBDB! N9CED! A9ONDE<CED7! :9NE:BD! R! OEC>=BD! =9C9:! E:=9:! B:NEA=9:7! NHC>E<C9!

N?B<=EBD!B!?9:!O;C>A9:!?B:!CHCB:!9!NDEGH<=B:!PHE!SE!A9<:>CEDBC9!9N9D=H<B:2

rHE!:9R!N?E<BOE<=E!A9<:A>E<=E!CE!PHE!OE!V9R!B!:9OE=ED!B!H<!=DB=BO>E<=97!E<!E?!PHE!

no existen garantías absolutas de éxito7! PHE! NHECE! :ED! <EAE:BD>9! <HEVB:!

BN?>ABA>9<E:! R! B:HO9! E?! D>E:G9! CE! ?B:! EVE<=HB?E:! A9ON?>ABA>9<E:! ><SEDE<=E:! B! C>ASB!

=;A<>AB!R!CE!?B:!PHE!SE!:>C9!A9<VE<>E<=EOE<=E!><T9DOBC92


consentimiento! B! E:=E! EPH>N9! CE?! +)6+K+! NBDB! PHE! OE! BN?>PHE<! E?! =DB=BO>E<=9!

CE:AD>=92

!

!

!


!


Zk^!

!



(Sondaje de la vía lagrimal)



E?!,Ds,DB2ooooooooooooooooooooooooooo!!CE! ?9:!:>GH>E<=E:!B:NEA=9:7!E<!DE?BA>J<!B?!:9<CBeE!

CE!?B!V@B!?BGD>OB?7!A9O9!E:!?EGB?OE<=E!NDEAEN=>V9!XBD=2!_7!l7!n!R!Y^!CE!"ER!_Ys]^^]`d!

!

A).- El sondaje de la vía lagrimal:

%:=B!><C>ABC9!AHB<C9!:E!ND9CHAE!H<B!9Q:=DHAA>J<!A9<G;<>=B!CE!?B!V@B!?BGD>OB?!CE!H<9!

9!CE!BOQ9:!9e9:7!PHE!9AB:>9<B!?BGD>OE9!Rs9!?EGBhB!CE:CE!E?!<BA>O>E<=92!

%?! objetivo! CE! ?B! ><=EDVE<A>J<! E:! D9ONED! OEC>B<=E! H<B! :9<CB! OE=U?>AB! T?Eb>Q?E!

><=D9CHA>CB! N9D! E?! NH<=9! ?BGD>OB?! ?B! OEOQDB<B! PHE! 9A?HRE! NB=9?JG>ABOE<=E! E?! A9<CHA=9!

?BAD>O9<B:B?7!NBDB!PHE!?B!?UGD>OB!:B?GB!BCEAHBCBOE<=E!CE?!9e92!

6HB<C9!?B!9Q:=DHAA>J<!CE!?B!V@B!?BGD>OB?!<9!:E!DE:HE?VE!E:N9<=U<EBOE<=E!9!OEC>B<=E!

OB:BeE:!E<!H<!NED>9C9! DBp9<BQ?E7!<9!Eb>:=E<! =DB=BO>E<=9:!O;C>A9:!alternativos7! N9D! ?9!PHE!

SBR!PHE!DEAHDD>D!B?!:9<CBeE2!

!




A9<9AED!R!BAEN=BDd!

"9:!ND9N>9:!CE!?B!anestesia!GE<EDB?7!RB!PHE!CBCB!?B!A9D=B!ECBC!CE?!NBA>E<=E!

E:!NDEA>:9!DEB?>pBD!E:=B!><=EDVE<A>J<!QBe9!B<E:=E:>B!NBDB!EV>=BD?E!:HTD>O>E<=9:!

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ZkY!

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?E:>J<!CE!E:=DHA=HDB:!NED>9AH?BDE:2!!

69ON?>ABA>9<E:!postoperatorias! A9O9! ><TEAA>J<! CE! =Ee>C9:! Q?B<C9:2! %:=U<!

CE:AD>=9:!AB:9:!CE!AE?H?>=>:!NDE:EN=B?7!PHE!:HE?E!DE:9?VED:E!A9<!E?!=DB=BO>E<=9!

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DENE=>D! ?B! ><=EDVE<A>J<! SB:=B! H<!OUb>O9! CE! =DE:! VEAE:2! %<! AB:9! CE! PHE! E?!

ND9Q?EOB! NED:>:=>EDB7! :E! DEAHDD>D@B! B! ?B! ><=HQBA>J<! A9<! :>?>A9<B! CE! ?B! V@B!

?BGD>OB?! 9! B! ?B! DEB?>pBA>J<! CE! 9=D9! =>N9! CE! ><=EDVE<A>J<! OU:! A9ON?EeB!

XCBAD>9A>:=9DD><9:=9O@B`2!

!




!










consentimiento!B!E:=E!EPH>N9!CE?!+)6+K+!NBDB!PHE!DEB?>AE<!?B!><=EDVE<A>J<!CE:AD>=B2

!

!

!


!


Zk]!

!



(Cirugía palpebral)





_Ys]^^]`d!

!

A).- La cirugía palpebral:

%:=U! ><C>ABCB! NBDB! A9DDEG>D! OB?! N9:>A>9<E:! CE! ?9:! NUDNBC9:! A9O9! ><VED:>9<E:7!

EVED:>9<E:! 9! AB@CB:! CE?! :HNED>9D! R! =BOQ>;<! NBDB! ?B! Eb=>DNBA>J<! CE! 9DpHE?9:7! PH>:=E:! 9!

=HO9DBA>9<E:!CE!?9:!NUDNBC9:2!

%?! objetivo! CE! ?B! ><=EDVE<A>J<! A9<:>:=E! E<! :9?HA>9<BD! E?! ND9Q?EOB7! OEC>B<=E!

DEN9:>A>J<!CE?!NUDNBC9!B!?B!N9:>A>J<!9D>G><B?!E<!E?!AB:9!CE!OB?!N9:>A>9<E:!9!E<!?B!Eb=>DNBA>J<!CE!

?B!<E9N?B:>B!E<!E?!AB:9!CE!?B:!=HO9DBA>9<E:!NB?NEQDB?E:2!

&>EONDE! :E! ><=E<=BDU! SBAED! A9><A>C>D! ?B:! ><A>:>9<E:! PH>DaDG>AB:! A9<! ?9:! N?>EGHE:! CE?!

NUDNBC97!R!=DB=BD!CE!DEA9<:=DH>D?9:!?9!OEe9D!N9:>Q?E7!CE:NH;:!CE!E?>O><BD!?B!=HO9DBA>J<7!NED9!E<!

B?GH<9:!AB:9:!E:!N9:>Q?E!PHE!PHECE<!A>AB=D>AE:!V>:>Q?E:7!9!:E!BTEA=E!E?!Q9DCE!CE?!NUDNBC9!9! ?B!

V@B!?BGD>OB?!9!PHECE<!CETEA=9:!E:=;=>A9:!PHE!NHECE<!><C>ABD!<HEVB:!><=EDVE<A>9<E:!A9DDEA=9DB:!

9!E<!AB:9:!OU:!EbAENA>9<B?E:!9AB:>9<BD!:EAHE?B:2!

!




A9<9AED!R!BAEN=BDd!

"9:! ND9N>9:! CE! ?B! anestesia! SBQ>=HB?OE<=E! ?9AB?7! OEC>B<=E! NH<A>J<! CE?!

NUDNBC97! N9D! ?9:! PHE! E:! <EAE:BD>B! H<B! QHE<B! A9?BQ9DBA>J<! CE?! NBA>E<=E7!

EV>=B<C9!O9V>O>E<=9:!QDH:A9:!CHDB<=E! ?B! A>DHG@B2!'9CD@B<!9AHDD>D! DEBAA>9<E:!

CE!S>NED:E<:>Q>?>CBC!B!?B!B<E:=E:>B!E<!NED:9<B:!NDEC>:NHE:=B:7!CE!O9C9!OHR!

EbAENA>9<B?7!NED9!PHE!?9:!AB:9:!CE!NE9D!EV9?HA>J<!N9CD@B<!=E<ED!H<!CE:E<?BAE!

TB=B?2!

ZkZ!

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69ON?>ABA>9<E:!intraoperatorias A9O9!:9<!SEO9DDBG>B:7!><TEAA>9<E:!CE!?9:!

=Ee>C9:! NED>9AH?BDE:7! CES>:AE<A>B:! CE! ?B:! :H=HDB:7! ?E:>J<! CE! E:=DHA=HDB:!

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NED>9AH?BDE:7!PHE!SBQ>=HB?OE<=E!:E!:9?HA>9<B<!TUA>?OE<=E!A9<!E?!=DB=BO>E<=9!

9N9D=H<92! i>NEDA9DDEAA>9<E:! 9! S>N9A9DDEAA>9<E:! CE! ?B:! OB?N9:>A>9<E:!

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iBQ>=HB?OE<=E! E:=B:! A9ON?>ABA>9<E:! :HE?E<! :9?HA>9<BD:E! A9<! E?! =DB=BO>E<=9!

BCEAHBC97!BH<PHE!E:!N9:>Q?E!PHE!NDEA>:E<!<HEVB:!><=EDVE<A>9<E:!A9DDEA=9DB:!

9! CEeE<! :EAHE?B:! NEDOB<E<=E:! E<! ?9:! AB:9:! OU:! CE:BT9D=H<BC9:! R!

EbAENA>9<B?E:2!

!




!











!

!


!


Zk_!

!



(Dacriocistorrinostomía)





_Ys]^^]`d!

!

A).- La Dacriocistorrinostomía:

%:=U!><C>ABCB!NBDB!A9DDEG>D!E?!?BGD>OE9!9!EN@T9DB!A9<:EAH=>V9!B!9Q:=DHAA>9<E:!CE!?B!V@B!

?BGD>OB?! ?9AB?>pBCB:!E<!E?!:BA9!?BGD>OB?!9!E<!E?!A9<CHA=9!<B:9?BGD>OB?2!69<:>:=E!E:E<A>B?OE<=E!

E<! E:=BQ?EAED! H<B! A9OH<>ABA>J<! C>DEA=B! E<=DE! E?! :BA9! ?BGD>OB?! R! ?B! T9:B! <B:B?! E?>O><B<C9! ?B!

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iBQ>=HB?OE<=E! >ON?B<=BO9:! H<9:! =HQ9:! CE! :>?>A9<B! NBDB! B:EGHDBD! ?B! NEDOEBQ>?>CBC! CE! ?B! V@B!

?BGD>OB?!PHE!:E!DE=>DB<!E<!H<!N?Bp9!<9!><TED>9D!B!=DE:!OE:E:2!

!

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X,BAD>9A>:=9DD><9:=9O@B!Eb=ED<B`7!PHE!CEeBDU!H<B!A>AB=D>p!E<!?B!OBR9D@B!CE!?9:!AB:9:!<9!9AB:>9<B!

CBh9! E:=;=>A9! >ON9D=B<=E7! 9! =BOQ>;<!NHECE! DEB?>pBD?E! ??EGB<C9!B?! :BA9! ?BGD>OB?! CE:CE! ?B! T9:B!

<B:B?!X,BAD>9A>:=9DD><9:=9O@B!E<C9<B:B?`2!%:!H<B!A>DHG@B! ?BQ9D>9:B7!PHE!:HE?E!CHDBD!E<=DE!Z^!R!

n^!O><H=9:!SBQ>=HB?OE<=E2!

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69<!E:=E!=>N9!CE! ><=EDVE<A>9<E:!:E!9Q=>E<E<!OHAS9:!;b>=9:!E<!E?!=DB=BO>E<=9!CE! ?B:!

9Q:=DHAA>9<E:! ?BGD>OB?E:! QBeB:7! NED9! <9! GBDB<=>pB<! E?! ;b>=9! E<! =9C9:! ?9:! AB:9:2! "B! A>DHG@B!

?BGD>OB?!:><!A9ON?>ABA>9<E:!NHECE!B:9A>BD:E!B!H<!OB?!DE:H?=BC9!TH<A>9<B?7!A9<!NED:>:=E<A>B!CE?!

?BGD>OE92!"B!ABH:B!OU:!TDEAHE<=E!CE!TDBAB:9:!CE!E:=B!A>DHG@B!:9<!?9:!ND9Q?EOB:!<9!CE=EA=BC9:!

NDE9NEDB=9D>BOE<=E!E<! ?B!N9DA>J<!ND9b>OB?!CE! ?B!V@B! ?BGD>OB?! XOB?N9:>A>9<E:!NB?NEQDB?E:7! TB??9!

CE!?B!Q9OQB!?BGD>OB?7!S>NED:EADEAA>J<!CE!?UGD>OB7!E=AM`2!

!

!

Zk[!

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!




A9<9AED!R!BAEN=BDd!

!

"9:! ND9N>9:! CE! ?B! anestesia! SBQ>=HB?OE<=E! ?9AB?7! OEC>B<=E! NH<A>J<!

NED>9AH?BD7! N9D! ?9:! PHE! E:! <EAE:BD>B! H<B! QHE<B! A9?BQ9DBA>J<! CE?! NBA>E<=E7!




TB=B?2! #?! :ED! ><=EDVE<A>9<E:! ?BDGB:7! NHECE! SBQED! ND9Q?EOB:! CE! CHDBA>J<!

><BCEAHBCB! 9! CE! B<E:=E:>B! N9A9! ND9TH<CB7! PHE! SBAE<! <EAE:BD>9! BN?>ABD!

<HEVB:!C9:>:!CE!B<E:=E:>B!9!BN?>ABD!B<E:=E:>B!><TDB9DQ>=BD>B7!PHE!E<!E?!]t!CE!

?9:!AB:9:!NHECE!9AB:>9<BD!SEO9DDBG>B!DE=D9QH?QBD2!

!

69ON?>ABA>9<E:! intraoperatorias A9O9! :9<! ?9AB?>pBA>J<! CETEA=H9:B! CE! ?B!

><A>:>J<! AH=U<EB! PHE! 9AB:>9<E! ?E:>J<! CE?! :BA9! 9! A>AB=D>AE:! N9A9! E:=;=>AB:2!

iEO9DDBG>B! ><=DB9NEDB=9D>B7! PHE! A9<! E?! H:9! CE! ?B:! =;A<>AB:! BCEAHBCB:! CE!

SEO9:=B:>B! :EGa<! ?B! THE<=E! CE! :B<GDBC97! <9! :HE?E! :ED! H<! ND9Q?EOB2!

"9AB?>pBA>J<! B<JOB?B! CE! ?B! 9:=E9=9O@B7! A9OH<>AB<C9! E?! :BA9! A9<! E?! :E<9!

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+<TEAA>9<E:!><=DB9NEDB=9D>B:7!E=A22!

!

!

69ON?>ABA>9<E:!postoperatorias!A9O9!SEO9DDBG>B!<B:B?!XEN>:=Bb>:`!PHE!E:!

TDEAHE<=E!E<!?B:!ND>OEDB:!S9DB:!=DB:!?B!><=EDVE<A>J<!9!OU:!DBDBOE<=E!E<!?9:!

C@B:! N9:=ED>9DE:2! &9<! ><EV>=BQ?E:! ?9:! SEOB=9OB:! NB?NEQDB?E:2! 'HECE!

ND9CHA>D:E!?B!><TEAA>J<!CE!?B!SED>CB!9!CE!?9:!=Ee>C9:!NED>9AH?BDE:7!GDB<H?9OB:7!

A>AB=D>AE:! B<=>E:=;=>AB:7! :@<CD9OE! CE?! L:HO>CED9W! N9DPHE! NED:>:=B! ?B!

BAHOH?BA>J<! CE!O9A9! R! CE=D>=H:! E<! E?! :BA9! N9DPHE! ?B! A9OH<>ABA>J<! A9<! ?B!

T9:B!<B:B?!<9!:EB!?9!:HT>A>E<=EOE<=E!BON?>B7!9! ><A?H:9!DE9Q:=DHAA>9<E:!CE!?B!

V@B2! iBQ>=HB?OE<=E! E:=B:! A9ON?>ABA>9<E:! :HE?E<! :9?HA>9<BD:E! A9<! E?!

=DB=BO>E<=9!BCEAHBC97!BH<PHE!E:!N9:>Q?E!PHE!NDEA>:E<!<HEVB:!><=EDVE<A>9<E:!

Zkj!

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A9DDEA=9DB:!9!CEeE<!:EAHE?B:!NEDOB<E<=E:!E<!?9:!AB:9:!OU:!CE:BT9D=H<BC9:!R!

EbAENA>9<B?E:2!

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PARA BLEFAROPASTIA.





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A).- La Blefaroplastia:

%:! H<! ND9AEC>O>E<=9! PH>DaDG>A9! AHRB! T><B?>CBC! E:! E?>O><BD! E?! EbAE:9! CE! N>E?! CE! ?9:!

NUDNBC9:!:HNED>9DE:!Rs9!><TED>9DE:7!B:@!A9O9!E?!EbAE:9!CE!GDB:B!NED>9DQ>=BD>B!PHE!T9DOB!Q9?:B:!

ND9O><E<=E:2!/Ee9DB!E?!B:NEA=9!CE?!NUDNBC97! ?B! T?BA>CEp!CE! ?B!N>E?!R! ?B:!Q9?:B:!ND9O><E<=E:!E!

><A?H:9! BON?>B! E?! ABON9! V>:HB?! :HNED>9D! E<! BPHE??9:! NBA>E<=E:! PHE! ?9! =>E<E<! ?>O>=BC9! N9D! H<!

EbAE:9! CE! N>E?! E<! E?! NUDNBC9! :HNED>9D7! NED9! E:=E! =>N9! CE! ><=EDVE<A>J<! <9! E?>O><B! ?B:!

CE<9O><BCB:! LNB=B:! CE!GB??9W! H!9=DB:! BDDHGB:! TBA>B?E:7! <>! ?B:! L9eEDB:W! 9:AHDB:7! <>! ?EVB<=B! ?B:!

AEeB:!AB@CB:2!!

iBQ>=HB?OE<=E!:E!ND9CHAE<!Eb=E<:9:!SEOB=9OB:!NB?NEQDB?E:!R!O9?E:=>B:!C9?9D9:B:!R!

H<!A>ED=9!GDBC9!CE!:EPHECBC!9AH?BD7!CHDB<=E!?B:!C9:!:EOB<B:!N9:=ED>9DE:!B!?B!><=EDVE<A>J<!PHE!

VB<!B!DEPHED>D!=DB=BO>E<=9!B<=>><T?BOB=9D>9!R!ND9T>?Bb>:!B<=>Q>J=>AB7!B:@!A9O9!?HQD>AB<=E:!9AH?BDE:!

R!OB:BeE:! NB?NEQDB?E:7! NBDB!OEe9DBD! ?B! A>AB=D>pBA>J<! CE! ?9:! NUDNBC9:2! +<EV>=BQ?EOE<=E! VB<! B!

PHECBD! H<B:! A>AB=D>AE:! PHE! :E! :HE?E<! SBAED! A9><A>C>D! A9<! ?9:! N?>EGHE:! 9! E?! DEQ9DCE! NB?NEQDB?!

NBDB!PHE!:EB<!NDUA=>ABOE<=E!>ONEDAEN=>Q?E:7!9!ABH:E<!E?!OE<9D!CETEA=9!E:=;=>A9!N9:>Q?E2!

!

!




A9<9AED!R!BAEN=BDd!

!

Zkl!

!

"9:! ND9N>9:! CE! ?B! anestesia! SBQ>=HB?OE<=E! ?9AB?7! OEC>B<=E! NH<A>J<!

NED>9AH?BD7! N9D! ?9:! PHE! E:! <EAE:BD>B! H<B! QHE<B! A9?BQ9DBA>J<! CE?! NBA>E<=E7!




TB=B?2!!

69ON?>ABA>9<E:! intraoperatorias A9O9! H<B! Eb=>DNBA>J<! EbAE:>VB! 9! E:AB:B!

CE!N>E?!CE?!NUDNBC9!B!NE:BD!CE!SBQED!OBDABC9!NDEV>BOE<=E!?B:!><A>:>9<E:!A9<!

E?! NBA>E<=E! :E<=BC97!H<! :B<GDBC9!PHE!9AB:>9<E!SEOB=9OB:! >ON9D=B<=E:!E<!

?9:! =Ee>C9:! NED>9AH?BDE:! 9! ><=DB9DQ>=BD>9:! N9D! ?E:>J<! CE! ?9:! VB:9:! CE?! =Ee>C9!

GDB:92!'HECE!9AB:>9<BD:E!H<B!SEO9DDBG>B!DE=D9QH?QBD!E<!E?!]!t!CE!?9:!AB:9:!

PHE!><C>PHE!N9:N9<ED!?B!><=EDVE<A>J<!SB:=B!:H!A9ON?E=B!DE:9?HA>J<2!

69ON?>ABA>9<E:!postoperatorias!A9O9!SEO9DDBG>B!><=DB9DQ>=BD>B!GDBVE7!A9<!

N;DC>CB!CE!V>:>J<!=DB<:>=9D>B!PHE!E<!?9:!AB:9:!OU:!CE:BT9D=H<BC9:!NHECE!:ED!

CET><>=>VB! R! PHE! DEPH>EDB! =DB=BO>E<=9! ><OEC>B=97! OEC>B<=E! CE:A9ONDE:>J<!

PH>DaDG>AB! CE! ?B! JDQ>=B2! 'HECE! ND9CHA>D:E! DE=DBAA>J<! CE?! NUDNBC9! ><TED>9D! 9!

EVED:>J<! XEA=D9N>J<`! PHE! :HE?E! :ED! =DB<:>=9D>9! CEQ>C9! B?! ECEOB2! %<! 9=D9:!

AB:9:! E:=B:! B?=EDBA>9<E:! CE?! NUDNBC9! ><TED>9D7! NHECE<! :ED! CEQ>CB:! B! 9=DB:!

ABH:B:!X?Bb>=HC!S9D>p9<=B?!CE?!NUDNBC9!<9!CE=EA=BCB7!DE=DBAA>J<!A>AB=D>A>B?!CE!

?B! ?UO><B!OEC>B!CE?!NUDNBC9! ><TED>9D7!EbA>:>J<!EbBGEDBCB!CE!N>E?7M`!R!SBAED!

<EAE:BD>B:! <HEVB:! ><=EDVE<A>9<E:! A9DDEA=9DB:2! 5<! A>ED=9! GDBC9! CE! C>T>AH?=BC!

E<! E?! A>EDDE! NB?NEQDB?! 9! ?BG9T=B?O9:! CE! ABDUA=ED! =DB<:>=9D>9! E:! SBQ>=HB?7! R!

NHECE! CBD! ?HGBD! B! PHEDB=9A9<eH<=>V>=>:! N9D! EbN9:>A>J<2! 'ED9! NHECE! 9AHDD>D!

?BG9T=B?O9:!NED:>:=E<=E!=DB:!Q?ETBD9N?B:=>B7!N9D!BCSEDE<A>B!B!?B!N>E?!CE?!:EN=9!

9DQ>=BD>9!CE?!NUDNBC9!:HNED>9D7!PHE! ><C>PHE! ?B! ?>QEDBA>J<!PH>DaDG>AB!CE!E:=B:!

BCSEDE<A>B:!R!E<!AB:9!CE!NED:>:=>D7!CBD!?HGBD!B!ND9Q?EOB:!B!VEAE:!GDBVE:!CE!

:EPHECBC!9AH?BD2!%:=U<!CE:AD>=9:!AB:9:!CE!AB@CB!CE?!NUDNBC9!:HNED>9D!9!N=9:>:!

N9D! ?E:>J<!CE?!E?EVBC9D2!%<!B?GH<9:!AB:9:!NHECE<!ND9CHA>D:E!A>AB=D>AE:!N9A9!

E:=;=>AB:! N9D! ND9Q?EOB:! E<! ?B! A>AB=D>pBA>J<! AH=U<EB2! 5<B! A9ON?>ABA>J<!OHR!

EbAENA>9<B?! E:! ?B! C>N?9N>B! XV>:>J<! C9Q?E`! N9D! ?E:>J<! CE! ?9:! Oa:AH?9:!

Eb=DB9AH?BDE:! X9Q?>AH9! 9! DEA=9! ><TED>9D! R! 9Q?>AH9! :HNED>9D`! PHE! :HE?E!

DEAHNEDBD:E!E:N9<=U<EBOE<=E7!NED9!PHE!NHECE!DEPHED>D!A>DHG@B2!%b>:=E<!9=DB:!

A9ON?>ABA>9<E:!CE:AD>=B:!B! ?B:!PHE!<9!SBAEO9:! DETEDE<A>B!CBCB! :H!Eb=DEOB!

DBDEpB2!

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!

!

!

Zkn!

!

!

!

!




!

!








A9<VE<>E<=EOE<=E! ><T9DOBC9! R! PHE! NHECE<! ><C>ABD! <HEVB:! ><=EDVE<A>9<E:! 9! CEeBD!

:EAHE?B:!CET><>=>VB:2



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Zl^!

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* DINSTITUTO DE CIENCIAS VISUALES C/ ANA TERESA, 24 – 28023 - MADRID OCUMENTO !

DOCUMENTO DE CONSENTIMIENTO INFORMADO PARA ADMINISTRACIÓN

INTRAVÍTREA DE MEDICAMENTOS !

!

,2,Äooooooooooooooooooooooooooooooooooooooooooooooooo! E<! AB?>CBC! CE! NBA>E<=E! 9! CE!

:H!DENDE:E<=B<=E! ?EGB?7!A9<!,)+!<|ooooooooooooooo7!OB<>T>E:=9!SBQED!:>C9! ><T9DOBC9!N9D!E?!

,Ds,DB2ooooooooooooooooooooooooooo! ! CE! ?9:! :>GH>E<=E:! B:NEA=9:7! E<! DE?BA>J<! #! ?B!

BCO><>:=DBA>J<! ><=DBV@=DEB! CE! OEC>ABOE<=9:! B?! ! PHE! V9R! B! :9OE=EDOE7! A9O9! E:! ?EGB?OE<=E!

NDEAEN=>V9!XBD=2!_7!l7!n!R!Y^!CE!"ER!_Ys]^^]`d!

!

A).- ADMINISTRACIÓN INTRAVÍTREA DE MEDICAMENTOS:

%:=E! =>N9! CE! ND9AEC>O>E<=9! A9<:>:=E! E:E<A>B?OE<=E! R! CE! T9DOB! OHR! :>ON?>T>ABCB! E<! H<B!

><REAA>J<! ><=DB9AH?BD7! CE!H<! TUDOBA9! A9<!C>VED:B:! T><B?>CBCE:! XB<=>><TEAA>9:B7! B<=>><T?BOB=9D>B7!

B<=>B<G>9G;<>AB7!E=AM`2!

%?!9QeE=>V9!CE!E:=B!BN?>ABA>J<!E:!A9<=D9?BD! ?B!NEDC>CB!CE!V>:>J<!9AB:>9<BCB!N9D! ?B!E<TEDOECBC!

PHE!:HTDE!E?!NBA>E<=E2!!)9DOB?OE<=E!:E!BN?>ABDU!A9<!B<E:=E:>B! ?9AB?7!=JN>AB!A9<!G9=B:!B<=E:!R!

CE:NH;:!CE!?B!><=EDVE<A>J<2!

!


#H<PHE! E:=E! =>N9! CE! ! =;A<>AB! SBQ>=HB?OE<=E! A9<:>GHE! E?! 9QeE=>V9! NED:EGH>C97! R! N9D! E:9! ?E!

ND9N9<EO9:! :H! DEB?>pBA>J<7! E<! ?B:! NHQ?>ABA>9<E:! A>E<=@T>AB:! E:=U<! CE:AD>=B:! H<B! :ED>E! CE!

A9ON?>ABA>9<E:!=@N>AB:!CE!E:=B!=;A<>AB!PHE!H:=EC!!CEQE!CE!A9<9AED7!?B:!OU:!>ON9D=B<=E:!:9<d!

Y2 #HOE<=9! CE! ?B! NDE:>J<! ><=DB9AH?BD7! :HE?E! :ED! =DB<:>=9D>97! :9?9! E<! B?GH<B:! 9AB:>9<E:!

<EAE:>=BD@B!=DB=BO>E<=9!E:NEA@T>A92!

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BH<PHE!!E<!9=D9:!AB:9:!E:!<EAE:BD>B!H<B!><=EDVE<A>J<!PH>DaDG>AB!NBDB!E?>O><BD?B2!

Z2 ,E:NDE<C>O>E<=9! CE! DE=><B7! A9ON?>ABA>J<! PHE! :E! CB! E<! OHR! DBDB:! 9AB:>9<E:! R! PHE!

<EAE:>=BD@B!><=EDVE<A>J<!CE!CE:NDE<C>O>E<=9!CE!DE=><B2!

_2 %<C9T=B?O>=>:7!:E!=DB=B!CE!?B!><T?BOBA>J<!CE?!G?9Q9!9AH?BD!NHECE!E:=BD!DE?BA>9<BCB!A9<!H<!

ND9AE:9!><TEAA>9:9!9!A9O9!DE:NHE:=B!B?!ND9CHA=9!PHE!:E!E:=U!><REA=B<C92!

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j2 iEO9DDBG>B:7! NEDT9DBA>9<E:!CE!E:=DHA=HDB:7! SED<>B!CE! >D>:7! D9=HDB! ABN:H?BD7! ?HbBA>J<!CE?!

<aA?E9!PHE!DEPH>EDB!DEB?>pBD!H<B!V>=DEA=9O@B7!H<B!A9ON?>ABA>J<!OHR! ><TDEAHE<=E!X]!è`!

ZlY!

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NED9!Eb=DEOBCBOE<=E!GDBVE!E:!H<B!SEO9DDBG>B!EbNH?:>VB!PHE!A9<:>:=E!E<! ?B!EbNH?:>J<!

CE?!A9<=E<>C9!CE?!9e9!R!A9<??EVB!?B!N;DC>CB!CE?!O>:O92!

!

#?GH<B!CE!E:=B:!A9ON?>ABA>9<E:!NHECE<!??EGBD!B!9AB:>9<BD!GDBVE:!A9<:EAHE<A>B:7!><A?H:9!

E<!B?GH<9:!AB:9:!NHECE!??EGBD!B!A9OND9OE=ED!?B!><=EGD>CBC!CE?!9e92!

!

!


(En este apartado se hará constar el o los medicamentos que vamos a inyectar en el

vítreo: tipo de antibiótico o antimicótico, acetónido de triancinolona, tipo de

fármaco antiangiogénico, etc…, y las complicaciones típicas específicas de esa

sustancia, no incluidas en el apartado B).






!


rHE!he sido informado con suficiente anticipación!CE!E:=E!=DB=BO>E<=9!A9O9!NBDB!



rHE!:9R!N?E<BOE<=E!A9<:A>E<=E!CE!PHE!OE!V9R!B!:9OE=ED!B!H<!=DB=BO>E<=97!R!A9O9!=B?7!

no existen garantías absolutas de éxito7! B:HO>E<C9! E?! D>E:G9! CE! ?B:! EVE<=HB?E:!

A9ON?>ABA>9<E:! ><SEDE<=E:! B! C>ASB! =;A<>AB! R! CE! ?B:! PHE! SE! :>C9! A9<VE<>E<=EOE<=E!

><T9DOBC92


consentimiento!B!E:=E!EPH>N9!CE?!+)6+K+!NBDB!PHE!DEB?>AE<!E?!=DB=BO>E<=9!CE:AD>=92

!

!


!


!!!!!!!

Zl]!

!

!!!!!!!!

INSTITUTO DE CIENCIAS VISUALES C/ ANA TERESA, 24 – 28023 – MADRID

DOCUMENTO !CONSENTIMIENTO INFORMADO

PARA TRATAMIENTO CON LASER DE ARGON

!

,s,Ä2oooooooooooooooooooooooooooooooooooooooooooooooooooo!E<!AB?>CBC!CE!NBA>E<=E!9!




_Ys]^^]`d!

!

A).- LAS CARACTERÍSTICAS DEL TRATAMIENTO ARGÓN:

,EA?BD9! PHE! SE! ?E@C97! A9ONDE<C>C9! R! :E! OE! SB! EbN?>ABC9! CE! H<B! T9DOB! A?BDB7!

A9ONDE<:>Q?E! R! :B=>:TBA=9D>BOE<=E! ?B! <B=HDB?EpB! R! ND9NJ:>=9:! CE! E:=E! =DB=BO>E<=9! A9<! "U:ED!

#$10)7!PHE!E:E<A>B?OE<=E! A9<:>:=E! E<!ND9CHA>D! H<B!PHEOBCHDB!E<! ?B! DE=><B!NBDB!CE:=DH>D?B7!

BCSED>D?B!B!?B:!ABNB:!:HQRBAE<=E:!9!AEDDBD!NH<=9:!CE!THGB!CE!:H:!VB:9:2!!!

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CONSENTIMIENTO INFORMADO (VITRECTOMIA)!

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D). LAS CONSECUENCIAS RELEVANTES PARA LA SALUD:

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CONSENTIMIENTO INFORMADO PARA CIRUGÍA DE

EVISCERACIÓN/ENUCLEACION DEL GLOBO OCULAR !





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C).- LOS RIESGOS PARTICULARES: #CEOU:! CE! E:=B:! A9ON?>ABA>9<E:7! =@N>AB:! R! ?B:! ND9N>B:! CE?! ND9AEC>O>E<=9! B<E:=;:>A97! PHE! OE!

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DOCUMENTO !INSTITUTO DE CIENCIAS VISUALES C/ ANA TERESA, 24 – 28023 – MADRID


PARA EMPLEO DE ANTIMITÓTICOS

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A).- ¿ QUE SON LOS ANTIMITÓTICOS?:

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LA RESPONSABILIDAD PROFESIONAL EN LA PRCTICA … · 2018. 10. 16. · 9.- El panorama actual de la...

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